Wellness MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WELLNESS MD INC

Practice address

Carretera 3 KM 138.1
Esquina Calle Bering
Guayama, PR 00785

Phone

(787) 674-8729

NPI assigned

Nov 30, 2023

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samuel Cruz Estrada, MDNPI 1265711477

Title

Owner

Phone

(787) 674-8729

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Cruz Estrada, M.D.

  • General Practice Physician
  • Penuelas, PR
  • NPI 1265711477
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1093581050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB CAMINO DE LA PRINCESA",
            "address_2": "CALLE AURORA O2 BUZON 79",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-674-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 3 KM 138.1",
            "address_2": "ESQUINA CALLE BERING",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-674-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "CRUZ ESTRADA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-674-8729",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Guayama, PR
• Providers in Guayama, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.