Organization
CORREDOR AZUL INTEGRAL LLC
Active
Other names
A1 Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE LOPEZ (ADMINISTRATOR)
(787) 378-9001
Entity
Organization
Contact information
Practice address
RIVER TOWN PLAZA, 50 AVE LOS FILTROS, BO. JUAN SANCHEZ, BAYAMON, PR 00969
(787) 378-9001
Mailing address
105 CARR. 21 BO. MONACILLOS,, SUITE 206, SAN JUAN, PR 00927
(787) 378-9001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
152W00000X
Optometrist
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/03/2024
Last updated
03/07/2025
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