Organization
ENDOCRINOLOGY AND METABOLISM WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINETSY I RIVERA ORTIZ MD (PRESIDENT)
(787) 320-0844
Entity
Organization
Contact information
Practice address
METROPOLITAN OFFICE BUILDING, #55 CALLE PALMA, ARECIBO, PR 00612
(787) 650-1071
(765) 862-2379
Mailing address
PO BOX 1041, VEGA ALTA, PR 00692-1041
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021419
LICENSE
PR
Enumeration date
08/25/2021
Last updated
09/17/2021
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