Organization Active NPI

Neurowellness,LLC

  • Clinical Neuropsychologist
  • Caguas, PR
National Provider Identifier
1932852324
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEUROWELLNESS,LLC
Practice address
Ave. Degetau
A18 Urb. Boneville Terrace
Caguas, PR 00725
Phone
(939) 745-5500
Fax
(561) 944-8003
NPI assigned
Jan 27, 2022
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Natalie C Sanchez Garcia, PHDNPI 1912578238
Title
Clinical Neuropsychologist
Phone
(939) 258-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

Ave. Degetau
A18 Urb. Boneville Terrace
Caguas, PR 00725

Mailing address

PO Box 262212
San Juan, PR 00926-2653
Phone (939) 258-5700

Other practice location 1

708 Ave. Ponce de Leon
Professional Medical Plaza Suite 104
San Juan, PR 00918
Phone (939) 745-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220311000078 PR Part B Supplier - Clinic/Group Practice 3375938285 Receives reassigned benefits from 3 practitioners
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 602
San Juan, PR 00917
Phone (787) 764-7998

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1932852324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262212",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262653",
            "telephone_number": "939-258-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. DEGETAU",
            "address_2": "A18 URB. BONEVILLE TERRACE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "939-745-5500",
            "fax_number": "561-944-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Ave. Ponce de Leon",
            "address_2": "Professional Medical Plaza Suite 104",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00918",
            "country_code": "US",
            "telephone_number": "939-745-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROWELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ GARCIA",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "939-258-5700",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.