Evolution and Wellness Therapy Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EVOLUTION AND WELLNESS THERAPY GROUP LLC

Practice address

Bo. Mamey, Carr. 4417 KM 0.1
Aguada, PR 00602

Phone

(787) 624-9258

NPI assigned

Dec 12, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Ednie J Ruiz Carrero, LCSW

Title

Presidente

Phone

(787) 624-9258

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ednie Jaffed Ruiz Sr., MS

  • Clinical Social Worker
  • Aguada, PR
  • NPI 1124594726
  Medicare reassignment NPD

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1780548834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALL BOX 40000 SUITE 113",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-624-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. MAMEY, CARR. 4417 KM 0.1",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-624-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION AND WELLNESS THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "RUIZ CARRERO",
        "authorized_official_first_name": "EDNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-624-9258",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alberto Echevarria, PA
• Manuel Antonio Egozcue, M.D.
• Empathy and Hope Clinical Social Work LLC
• Equipos Medicos by la Monserrate LLC
• Essential Health LLC
• Farmacia Aguada Inc.
• Farmacia Alondra
• Farmacia Cooperativa Aguada
• Farmacia del Pueblo
• Farmacia Domenech LLC

• Clinical Social Worker in Aguada, PR
• Providers in Aguada, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.