Organization
LAUREL HEALTH & WELLNESS SOLUTIONS LLC
Active
Other names
BUENAVENTURA HEALTH & WELLNESS CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE A VAZQUEZ OWNER (VICE PRESIDENT & CFO)
(787) 298-5650
Entity
Organization
Contact information
Practice address
7019 PASEO LA FORTUNA, COTO LAUREL, PR 00780-2308
(787) 298-5650
Mailing address
7019 PASEO LA FORTUNA, COTO LAUREL, PR 00780-2308
(787) 298-5650
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
483014
DRIVER'S LICENSE
PR
Enumeration date
11/25/2022
Last updated
11/25/2022
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