Organization Active NPI

New Version Wellness Clinic

  • Medical Toxicology (Preventive Medicine) Physician
  • Hato Rey, PR
National Provider Identifier
1851777817
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Toxicology (Preventive Medicine) PhysicianTaxonomy code 2083T0002X
License
18973 Issued in PR
Legal business name
NEW VERSION WELLNESS CLINIC
Practice address
572 Calle Cesar Gonzalez
Hato Rey, PR 00919-0000
Phone
(954) 998-8611
Fax
(787) 686-6048
NPI assigned
Jul 31, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Lillian J Vargas Bernier
Title
President
Phone
(954) 998-8611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Toxicology (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083T0002X 18973 PR Primary

Addresses

Primary practice location

572 Calle Cesar Gonzalez
Hato Rey, PR 00919-0000

Mailing address

572 Calle Cesar Gonzalez
Hato Rey, PR 00919
Phone (954) 998-8611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1851777817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 CALLE CESAR GONZALEZ",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "954-998-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 CALLE CESAR GONZALEZ",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "009190000",
            "telephone_number": "954-998-8611",
            "fax_number": "787-686-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VERSION WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "VARGAS BERNIER",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-998-8611",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2083T0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "PR",
            "license": "18973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.