Organization Active NPI

Custom Wellness Solutions

  • Public Health & General Preventive Medicine Physician
  • Coto Laurel, PR
National Provider Identifier
1073780581
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.