Medwell Medical Management Corp

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MEDWELL MEDICAL MANAGEMENT CORP

Practice address

8169 Calle Concordia Ste 310
Ponce, PR 00717-1563

Phone

(787) 599-5010

Fax

(787) 437-3636

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Sonia Ivelisse Bonilla, RN

Title

President

Phone

(787) 599-5010

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1942054614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA STE 310",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171563",
            "telephone_number": "787-599-5010",
            "fax_number": "787-437-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 CALLE CONCORDIA STE 310",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171563",
            "telephone_number": "787-599-5010",
            "fax_number": "787-437-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWELL MEDICAL MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "IVELISSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-599-5010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emanuel Mejias Lafontaine, MD
• Lissette Mari Mejias I
• Brenda Liz Melendez Maldonado, MSW

• Health Maintenance Organization in Ponce, PR
• Providers in Ponce, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.