Organization
PRAVAN WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUTH L GONZALEZ PSYD (VICE PRESIDENT OF OPERATIONS)
(787) 310-7900
Entity
Organization
Contact information
Practice address
1511 AVE PONCE DE LEON STE 3, SAN JUAN, PR 00909-5001
(787) 310-7900
Mailing address
1511 AVE PONCE DE LEON STE 3, SAN JUAN, PR 00909-5001
(787) 339-2639
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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