Organization
WELLNESS CLINICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL O LOPEZ MD (PRESIDENT)
(787) 827-0288
Entity
Organization
Contact information
Practice address
31 CALLE SAN BENITO, LAS MARIAS, PR 00670-2103
(787) 827-0285
Mailing address
31 CALLE SAN BENITO, LAS MARIAS, PR 00670-2103
(787) 827-0285
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16683
PR
Other
Enumeration date
12/27/2013
Last updated
09/27/2023
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