Provider Demographics
NPI:1467161117
Name:INTEGRAL WELLNESS
Entity Type:Organization
Organization Name:INTEGRAL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:939-428-2604
Mailing Address - Street 1:VILLA ANA B 18 ALTOS CALLE R/ MOJICA
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777
Mailing Address - Country:US
Mailing Address - Phone:939-428-2604
Mailing Address - Fax:
Practice Address - Street 1:VILLA ANA B 18 ALTOS CALLE R/ MOJICA
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:939-428-2604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INTEGRAL WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty