Organization
WOMEN'S WELLNESS & ANTIAGING MEDICAL SPA,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIKA MICHELLE BENABE MD (MEDICAL DIRECTOR)
(787) 379-4777
Entity
Organization
Contact information
Practice address
1565 ALDA ST, URB CARIBE, SAN JUAN, PR 00926
(787) 379-4777
Mailing address
PO BOX 70344, PMB 366, SAN JUAN, PR 00936-8344
(787) 379-4777
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
16821
PR
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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