Wellness Clinical Group PSC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16683 Issued in PR

Legal business name

WELLNESS CLINICAL GROUP PSC

Practice address

31 Calle San Benito
Las Marias, PR 00670-2103

Phone

(787) 827-0285

NPI assigned

Dec 27, 2013

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel O Lopez, MDNPI 1376762179

Title

President

Phone

(787) 827-0288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Joel Osvaldo Lopez, M.D.

  • General Practice Physician
  • Las Marias, PR
  • NPI 1376762179
  Medicare reassignment Care Compare group NPD Authorized official
• Luz Ileana Bartolomei Rodriguez, M.D.

  • General Practice Physician
  • Las Marias, PR
  • NPI 1205010733
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1388102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1508287103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CALLE SAN BENITO",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006702103",
            "telephone_number": "787-827-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CALLE SAN BENITO",
            "city": "LAS MARIAS",
            "state": "PR",
            "postal_code": "006702103",
            "telephone_number": "787-827-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Providencia Barrero",
            "address_2": "Urb Los Alamos",
            "address_purpose": "LOCATION",
            "city": "San Sebastian",
            "state": "PR",
            "postal_code": "00685",
            "country_code": "US",
            "telephone_number": "787-896-1189",
            "fax_number": "787-280-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS CLINICAL GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-827-0288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "16683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Servicios Medicos Las Marias Inc
• Servicios Medicos Las Marias, Inc (Laboratorio Las Marias)
• Guillermo Eliezer Soto Martinez, M.D.
• Marisol Vega-Muniz, RNM
• Viveconect, Inc.
• Wellness Clinical Services, LLC

• General Practice Physician in Las Marias, PR
• Providers in Las Marias, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.