Active NPI
Corpus Wellness Clinic LLC.
- Corporate Health Clinic/Center
- Hormigueros, PR
National Provider Identifier
1629800206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corporate Health Clinic/Center
- Legal business name
- CORPUS WELLNESS CLINIC LLC.
- Practice address
- Plaza Pelegrino Carr 2 Local 12
Hormigueros, PR 00660 - Phone
- (787) 458-1349
- NPI assigned
- Aug 14, 2024
- Last updated
- Sep 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hector Camacho
- Title
- Presidente
- Phone
- (787) 458-1349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corporate Health Clinic/Center | 261QC1800X | NU | Primary |
Addresses
Primary practice location
Plaza Pelegrino Carr 2 Local 12
Hormigueros, PR 00660
Mailing address
PO Box 513
Hormigueros, PR 00660-0513
Phone (787) 458-1349
Other names 1
- none
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Physician
- Hormigueros, PR
- NPI 1225288764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725408000000",
"number": "1629800206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 513",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "006600513",
"telephone_number": "787-458-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PLAZA PELEGRINO CARR 2 LOCAL 12",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "00660",
"telephone_number": "787-458-1349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORPUS WELLNESS CLINIC LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-14",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A",
"authorized_official_last_name": "CAMACHO",
"authorized_official_first_name": "HECTOR",
"authorized_official_title_or_position": "PRESIDENTE",
"authorized_official_telephone_number": "787-458-1349",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QC1800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Corporate Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hormigueros, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.