Av Wellness MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

AV WELLNESS MD

Practice address

Calle110 BH-12 Local 3
Carolina, PR 00983

Phone

(939) 633-6011

NPI assigned

Jul 12, 2022

Last updated

Jul 12, 2022By 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

Axel Alejandro Santiago, MDNPI 1205256740

Title

President

Phone

(939) 633-6011

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.

• Axel E. Alejandro Santiago, M.D.

  • General Practice Physician
  • Carolina, PR
  • NPI 1205256740
  NPD Authorized official

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1134853567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE110 BH-12 LOCAL 3",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "939-633-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE110 BH-12 LOCAL 3",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "939-633-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV WELLNESS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "ALEJANDRO SANTIAGO",
        "authorized_official_first_name": "AXEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-633-6011",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assmca
• Assmca
• Assmca
• Atlantis Health Care Group Puerto Rico, Inc. (Renal Centre of Carolina)
• Carmen Auiles, PHD
• Yaniris R. Avellanet, M.D.
• Jaileene Avila
• Alex O. Aviles Oliver
• Yanira Aviles-Olivo, MMHC
• Alicia Vega Aviles, R.N

• Primary Care Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.