| Vals Holistic Wellness Llc | |
|
Ashford Medical Ctr 29 Washington Street Suite 102 San Juan PR 00907-1510 | |
| (787) 725-4945 | |
| (787) 725-0623 |
| Full Name | Vals Holistic Wellness Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Ashford Medical Ctr, San Juan, Puerto Rico |
| Authorized Official Name and Position | Wency Rubio Gonzalez (PRESIDENT) |
| Authorized Official Contact | 7877254945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vals Holistic Wellness Llc Ashford Medical Ctr 29 Washington Street Suite 102 San Juan PR 00907-1510 Ph: (787) 725-4945 | Vals Holistic Wellness Llc Ashford Medical Ctr 29 Washington Street Suite 102 San Juan PR 00907-1510 Ph: (787) 725-4945 |
| NPI Number | 1336589126 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 01/13/2015 |
| Medicare PECOS PAC ID | 4082847835 |
|---|---|
| Medicare Enrollment ID | O20140430002190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336589126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12616 (Puerto Rico) | Primary |
| Provider Name | Raul R Hernandez Chuan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730120098 PECOS PAC ID: 6507874112 Enrollment ID: I20060323000378 |
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