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Organization

CHAMPI MEDICAL AND WELLNESS GROUP

Active
Other names
CHAMPI MEDICAL AND WELLNESS GROUP, CORP.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICARDO LUIS MACHADO-TORRES M.D. (PRESIDENT)
(787) 229-1223
Entity
Organization

Contact information

Practice address
107 CALLE MARIA MONAGAS LOCAL #1, ESQUINA 65 INFANTERIA, ANASCO, PR 00610
(787) 229-1223
(787) 229-1332
Mailing address
PO BOX 619, ANASCO, PR 00610-0619
(787) 229-1223
(787) 229-1332

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PR
103TC0700X
Clinical Psychologist
PR
133N00000X
Nutritionist
Primary
PR
163WW0000X
Wound Care Registered Nurse
PR
173C00000X
Reflexologist
PR
208D00000X
General Practice Physician
PR
225700000X
Massage Therapist
PR
261Q00000X
Clinic/Center
PR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
PR
261QM2800X
Methadone Clinic
PR

Other

Enumeration date
06/19/2013
Last updated
09/08/2014
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