Active NPI
New Version Wellness Clinic
- Medical Toxicology (Preventive Medicine) Physician
- Hato Rey, PR
National Provider Identifier
1851777817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Toxicology (Preventive Medicine) Physician
- License
- 18973
- 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, 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. Lillian J Vargas Bernier
- Title
- President
- Phone
- (954) 998-8611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Toxicology (Preventive Medicine) Physician | 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 DirectoryNPI 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
- Luis Antonio Nazario Guirau, MD,GS,FABWH,FACHM
- Juan Alberto Nazario, PSY.D.
- Aurea T Negron Valcarcel, M.D., FIPP
- Marcelino Negron, DMD
- Neuro One LLC
- Claribel Nieves, RN REGISTERED NURSE
- Magda Nogueras Arrillaga, O.D.
- Elizabeth Noriega de Quintero, MD
- Novis PR, Inc. (Kramer Novis)
- Nuclear Radiology, CSP
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.