Organization Active NPI

Belladonna Medical Wellness

  • General Practice Physician
  • Vega Baja, PR
National Provider Identifier
1376878967
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BELLADONNA MEDICAL WELLNESS
Practice address
Carr #2 KM 42
Expreso Vega Y Morovis
Vega Baja, PR 00693
Phone
(787) 533-7520
NPI assigned
Oct 15, 2009
Organization subpart
Yes
Parent organization
GRUPO MEDICO FAMILIARAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Dr. Evelyn Cintron-Pagan, MDNPI 1669576021
Title
Director
Phone
(787) 533-7520

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
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Carr #2 KM 42
Expreso Vega Y Morovis
Vega Baja, PR 00693

Mailing address

4253 Carr 2
Vega Baja, PR 00693-3619
Phone (787) 533-7520

National Provider Directory

National Provider Directory
Part of
Grupo Medico Familiar

Locations

4253 Carr 2
Vega Baja, PR 00693

Practitioners & affiliated clinicians

Practitioners 1

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": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1376878967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 CARR 2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933619",
            "telephone_number": "787-533-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 42",
            "address_2": "EXPRESO VEGA Y MOROVIS",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-533-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLADONNA MEDICAL WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRUPO MEDICO FAMILIAR",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "CINTRON-PAGAN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-533-7520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.