PRAVAN WELLNESS, LLC (NPI# 1780227504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780227504 |
Entity Type | Organization |
Organization Name | PRAVAN WELLNESS, LLC |
Practice Address |
1511 Ave Ponce De Leon Ste 3 San Juan PR 00909-5001 |
Practice Telephone | 7873107900 |
Mailing Telephone | 7873392639 |
Enumeration Date | 2019-10-24 |
Last Update Date | 2019-10-24 |
Authorized Official Name | DR. RUTH L GONZALEZ (VICE PRESIDENT OF OPERATIONS) |
Authorized Official Telephone | 7873107900 |
Authorized Official Credential | PSYD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
1511 AVE PONCE DE LEON STE 3 |
City | SAN JUAN |
State | PR |
Zip Code | 00909-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
Find all providers in zip 00909 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
1801408489 | Vaccines & Vitamins Wellness Center | Clinic/Center | 293 Ave Winston Churchill, San Juan, PR 00926-6604 | 2020-08-17 |
1366060766 | Prepven Corp | Clinic/Center | 315 Calle Manuel Domenech Ste 1, San Juan, PR 00918-3513 | 2020-07-12 |
1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
1942858428 | Upper Cervical Chiropractic of Puerto Rico | Clinic/Center | 254 Avenida Jesus T. Pinero, Local #3, San Juan, PR 00927 | 2019-08-28 |
1669835161 | Centro Ararat | Clinic/Center | 1503 Calle Prof Augusto Rodrigues Bld Asis, Suite 600, San Juan, PR 00919 | 2016-04-01 |
1376902759 | Women's Wellness & Antiaging Medical Spa,psc | Clinic/Center | 1565 Alda St, Urb Caribe, San Juan, PR 00926 | 2016-02-15 |
1730550393 | Grupo Medico Del Norte Inc. | Clinic/Center | 804 Ave Ponce De Leon, Suite 101a, San Juan, PR 00907-3301 | 2015-10-08 |
1417345612 | Centro Vacunin | Clinic/Center | 161 Calle Cesar Gonzalez Apdo 17, Pavilion Court, San Juan, PR 00917 | 2014-12-23 |
1902223837 | Good Life Corp. | Clinic/Center | 656 Calle Hoare, Miaramar, San Juan, PR 00907-3613 | 2014-03-28 |
Find all providers in SAN JUAN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.