Organization
EVOLUTION AND WELLNESS THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDNIE J RUIZ CARRERO LCSW (PRESIDENTE)
(787) 624-9258
Entity
Organization
Contact information
Practice address
BO. MAMEY, CARR. 4417 KM 0.1, AGUADA, PR 00602
(787) 624-9258
Mailing address
CALL BOX 40000 SUITE 113, AGUADA, PR 00602
(787) 624-9258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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