Atlantic Wellness MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ATLANTIC WELLNESS MD

Practice address

Edif. Manuel Bundy Jimenez
Ave. Victor Rojas Suite #3
Arecibo, PR 00612

Phone

(787) 544-3188

Fax

(787) 544-3188

NPI assigned

Feb 21, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jorge W. Mendez-Ortiz, MD

Title

Director

Phone

(787) 544-3188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1306544028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF. MANUEL BUNDY JIMENEZ",
            "address_2": "AVE. VICTOR ROJAS SUITE #3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-544-3188",
            "fax_number": "787-544-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF. MANUEL BUNDY JIMENEZ",
            "address_2": "AVE. VICTOR ROJAS SUITE #3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-544-3188",
            "fax_number": "787-544-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC WELLNESS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "MENDEZ-ORTIZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-544-3188",
        "authorized_official_name_prefix": "Dr.",
        "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 Arecibo, PR
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• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.