Active NPI
Custom Wellness Solutions
- Public Health & General Preventive Medicine Physician
- Coto Laurel, PR
National Provider Identifier
1073780581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- CUSTOM WELLNESS SOLUTIONS
- Practice address
- Carretera 506 KM 0.75
Edificio Legacy Office Park Suite 102
Coto Laurel, PR 00780-2246 - Phone
- (787) 259-1654
- Fax
- (787) 848-7373
- NPI assigned
- May 14, 2008
- Last updated
- May 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prof. Yitza A. Arcelay, MPHE, CHES, CLE
- Title
- President
- Phone
- (787) 259-1654
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | ||
| Nutrition Education Nutritionist | 133NN1002X | NU | ||
| Public Health & General Preventive Medicine Physician | 2083P0901X | NU | Primary |
Addresses
Primary practice location
Carretera 506 KM 0.75
Edificio Legacy Office Park Suite 102
Coto Laurel, PR 00780-2246
Mailing address
1241 Bulevar San Luis
Coto Laurel, PR 00780-2246
Phone (787) 259-1654
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1073780581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 BULEVAR SAN LUIS",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007802246",
"telephone_number": "787-259-1654",
"fax_number": "787-848-7373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 506 KM 0.75",
"address_2": "EDIFICIO LEGACY OFFICE PARK SUITE 102",
"city": "COTO LAUREL",
"state": "PR",
"postal_code": "007802246",
"telephone_number": "787-259-1654",
"fax_number": "787-848-7373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM WELLNESS SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "ARCELAY",
"authorized_official_first_name": "YITZA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-259-1654",
"authorized_official_name_prefix": "Prof.",
"authorized_official_credential": "MPHE, CHES, CLE"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coto Laurel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.