NPIMap

Organization Active NPI

Condado Wellness Center

  • Specialist
  • San Juan, PR
National Provider Identifier
1194244657
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CONDADO WELLNESS CENTER
Practice address
150 Ave de Diego Suite 201
2 Pido San Juan Health Centre
San Juan, PR 00907-2398
Phone
(787) 230-7557
NPI assigned
Sep 15, 2017
Organization subpart
Yes
Parent organization
CARIBBEAN HEALTHCARE MANAGEMENT GROUAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Pedro J Beauchamp, MDNPI 1578695805
Title
President
Phone
(787) 798-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

150 Ave de Diego Suite 201
2 Pido San Juan Health Centre
San Juan, PR 00907-2398

Mailing address

100 Paseo San Pablo
Suite 503
Bayamo, PR 00961
Phone (787) 798-0100

National Provider Directory

National Provider Directory
Tax ID family
Caribbean Healthcare Management Group LLC2 organizations share this tax ID, including this one
Part of
Caribbean Healthcare Management Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1194244657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASEO SAN PABLO",
            "address_2": "SUITE 503",
            "city": "BAYAMO",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-798-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO SUITE 201",
            "address_2": "2 PIDO SAN JUAN HEALTH CENTRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072398",
            "telephone_number": "787-230-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDADO WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARIBBEAN HEALTHCARE MANAGEMENT GROU",
        "enumeration_date": "2017-09-15",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "BEAUCHAMP",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-0100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.