| Condado Wellness Center PSC | |
|
150 Calle De Diego San Juan PR 00925-3406 | |
| (787) 230-7557 | |
| Not Available |
| Full Name | Condado Wellness Center PSC |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Calle De Diego, San Juan, Puerto Rico |
| Authorized Official Name and Position | Alfredo Ayala (PRESIDENT) |
| Authorized Official Contact | 7872307557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Condado Wellness Center PSC 100 Paseo San Pablo Ste 503 Bayamon PR 00961-7028 Ph: (787) 230-7557 | Condado Wellness Center PSC 150 Calle De Diego San Juan PR 00925-3406 Ph: (787) 230-7557 |
| NPI Number | 1013482066 |
|---|---|
| Provider Enumeration Date | 10/05/2018 |
| Last Update Date | 03/14/2025 |
| Certification Date | 03/14/2025 |
| Medicare PECOS PAC ID | 4284018201 |
|---|---|
| Medicare Enrollment ID | O20220825000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013482066 | NPI | - | NPPES |
| 039053800 | Medicaid | PR |
| Provider Name | Alfredo Ayala Marrero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881658284 PECOS PAC ID: 1759368889 Enrollment ID: I20071207000146 |
| Provider Name | Ivonne M Sarriera Requena |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316271166 PECOS PAC ID: 8729209200 Enrollment ID: I20141027001047 |
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