Organization Active NPI

Health Management and Wellness Group LLC

  • Clinic/Center
  • San Juan, PR
National Provider Identifier
1265705537
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
6328 Issued in PR
Legal business name
HEALTH MANAGEMENT AND WELLNESS GROUP LLC
Practice address
1 Calle Santa Rosa
San Juan Garden
San Juan, PR 00926-5403
Phone
(787) 766-0075
Fax
(787) 759-8411
NPI assigned
Feb 17, 2012
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Manuel Antonio Placer
Title
President
Phone
(787) 766-0075

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 14445 PR
Clinic/Center 261Q00000X 17441 PR
Clinic/Center 261Q00000X 6328 PR Primary

Addresses

Primary practice location

1 Calle Santa Rosa
San Juan Garden
San Juan, PR 00926-5403

Mailing address

PO Box 3825
Guaynabo, PR 00970-3825
Phone (787) 766-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241219003947 PR Part B Supplier - Clinic/Group Practice 2860929437 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1265705537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3825",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703825",
            "telephone_number": "787-766-0075",
            "fax_number": "787-759-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE SANTA ROSA",
            "address_2": "SAN JUAN GARDEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265403",
            "telephone_number": "787-766-0075",
            "fax_number": "787-759-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH MANAGEMENT AND WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "PLACER",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-766-0075"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "14445",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "17441",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "6328",
            "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 Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.