Provider Demographics
NPI:1386196202
Name:RESTORATIVE HEALTH AND WELLNESS INSTITUTE, LLC
Entity Type:Organization
Organization Name:RESTORATIVE HEALTH AND WELLNESS INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALMEIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-566-2310
Mailing Address - Street 1:PO BOX 9020491
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00902-0491
Mailing Address - Country:US
Mailing Address - Phone:787-566-2310
Mailing Address - Fax:
Practice Address - Street 1:301 CALLE RECINTO S
Practice Address - Street 2:SUITE 204
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901-1960
Practice Address - Country:US
Practice Address - Phone:787-566-2310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16390261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health