Organization
CORREDOR AZUL INTEGRAL LLC
Active
Other names
A1 Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE LOPEZ GARCIA LCDA (ADMINISTRADORA)
(787) 378-9001
Entity
Organization
Contact information
Practice address
RIVER TOWN PLAZA, LOCAL B, 50 AVE LOS FILTROS, BAYAMON, PR 00959
(787) 798-5090
Mailing address
807 AVE PONCE DE LEON, PMB 1307, SAN JUAN, PR 00907
(787) 798-5090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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