The Wellness Space, P.S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

THE WELLNESS SPACE, P.S.C.

Practice address

3106 Ave Juan Hernandez Ortiz
Isabela, PR 00662-3614

Phone

(787) 872-5042

Fax

(787) 291-7436

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Pedro J Cruz Sr., MD

Title

President

Phone

(787) 872-5042

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1982171120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1747",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621747",
            "telephone_number": "787-872-5042",
            "fax_number": "787-291-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 AVE JUAN HERNANDEZ ORTIZ",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006623614",
            "telephone_number": "787-872-5042",
            "fax_number": "787-291-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS SPACE, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-872-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tavarez Medical Supply
• Liz Mary Tavarez
• Terapia Con Amor LLC
• Terapia Fisica a Tu Alcance
• The Healers Space Wellness Center PSC
• Cinthia Lorraine Tirado-Costacamps, CHES
• Jacqueline Tirado, BSN
• Edison Javier Toro Nieves, M.D.
• Amelia Maria Torres Soler, MS SLP
• Josue Alberto Torres-Soto, PH. D.

• Primary Care Clinic/Center in Isabela, PR
• Providers in Isabela, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.