Organization
THE WELLNESS AGE, CORP
Active
Organization
THE WELLNESS AGE, CORP
Active
Other names
WELLNESS DIRECT SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA H RIVERA (PRESIDENT/OWNER)
(787) 556-3056
Entity
Organization
Contact information
Practice address
AVE LUIS MUNOZ MARIN ESQ TROCHE FINAL, C#3, CAGUAS, PR 00725-0000
(787) 644-1700
Mailing address
PO BOX 1332, GURABO, PR 00778-1332
(787) 556-3056
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
—
PR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
PR
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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