NPIMap

Organization Active NPI

Well&Lean LLC

  • Health Service Clinic/Center
  • San Juan, PR
National Provider Identifier
1306207972
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2745 Issued in PR
Legal business name
WELL&LEAN LLC
Practice address
465 Ave Hostos
Urb Vedado
San Juan, PR 00918-3014
Phone
(787) 946-4501
NPI assigned
Mar 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Leslie E DominguezNPI 1578777082
Title
President
Phone
(787) 596-0358

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2745 PR Primary
Rehabilitation Clinic/Center 261QR0400X 2745 PR

Addresses

Primary practice location

465 Ave Hostos
Urb Vedado
San Juan, PR 00918-3014

Mailing address

PO Box 191147
San Juan, PR 00919-1147
Phone (787) 946-4501

National Provider Directory

National Provider Directory

Locations

275 Calle Mendez Vigo
Dorado, PR 00646
Phone (787) 596-0358

Practitioners & affiliated clinicians

Practitioners 6

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": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1306207972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191147",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009191147",
            "telephone_number": "787-946-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 AVE HOSTOS",
            "address_2": "URB VEDADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183014",
            "telephone_number": "787-946-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL&LEAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-596-0358"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "2745",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PR",
            "license": "2745",
            "primary": false
        }
    ],
    "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 Jun 15, 2016; 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.