Women'S Wellness & Antiaging Medical Spa,PSC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

16821 Issued in PR

Legal business name

WOMEN'S WELLNESS & ANTIAGING MEDICAL SPA,PSC

Practice address

1565 Alda St
Urb Caribe
San Juan, PR 00926

Phone

(787) 379-4777

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Erika Michelle Benabe, MD

Title

Medical Director

Phone

(787) 379-4777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1376902759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70344",
            "address_2": "PMB 366",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-379-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 ALDA ST",
            "address_2": "URB CARIBE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-379-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S WELLNESS & ANTIAGING MEDICAL SPA,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "BENABE",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-379-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "16821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Wojna, MD
• Wom LLC
• Woman & Prenatal Care of Puerto Rico
• Women'S Pelvic Health and Reconstructive Surgery LLC
• Women'S Pelvic Health and Reconstructive Surgery LLC
• Joshua Michael Wong, MD
• Michel A Woodbury, MD
• Workout Fitness
• Wound and Ulcer Care Clinic of San
• Wound Care Plus Education and Research Center, Inc

• Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinic/Center in Puerto Rico

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