Active NPI
Belladonna Medical Wellness Inc.
- Specialist
- Bayamon, PR
National Provider Identifier
1689923807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13943
- Legal business name
- BELLADONNA MEDICAL WELLNESS INC.
- Practice address
- Carr# 2 Esq. Betances Shopping Capri
Bayamon, PR 00961 - Phone
- (787) 449-8806
- NPI assigned
- Sep 4, 2012
- Last updated
- Dec 23, 2015
- 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
- Dr. Evelyn Cintron, M.D.
- Title
- President
- Phone
- (787) 996-7520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13943 | PR | Primary |
Addresses
Primary practice location
Carr# 2 Esq. Betances Shopping Capri
Bayamon, PR 00961
Mailing address
Carr #2 Esq. Betances Shopping Capri
Bayamon, PR 00959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
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
- Bayamon, PR
- NPI 1669576021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450828800000",
"number": "1689923807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR #2 ESQ. BETANCES SHOPPING CAPRI",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR# 2 ESQ. BETANCES SHOPPING CAPRI",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-449-8806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLADONNA MEDICAL WELLNESS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-04",
"last_updated": "2015-12-23",
"status": "A",
"authorized_official_last_name": "CINTRON",
"authorized_official_first_name": "EVELYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-996-7520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "13943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Rebeca Bayron-Adames, MD, DABFM
- Merardo Antonio Becerra, MEDICAL DOCTOR
- Behavioral Health and Wellness, Corp.
- Ines Milagros Belen, PHD
- Bella Sonrisa PR Dental Group LLC
- Stephanie Rosaly Beltran Rosario, PHARMD
- Wanda Migdalia Beltran Virella, M.D.
- Marisabel Beltran
- Wanda Beltran, RPH
- Benabe Visual Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.