Provider Demographics
NPI:1538301932
Name:BEYOND WELLNESS INC.
Entity Type:Organization
Organization Name:BEYOND WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AXEL
Authorized Official - Middle Name:ENRI
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-607-6007
Mailing Address - Street 1:5016 PASEO LA CONSTANCIA
Mailing Address - Street 2:HACIENDAS DEL MONTE
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-2311
Mailing Address - Country:US
Mailing Address - Phone:787-690-9580
Mailing Address - Fax:
Practice Address - Street 1:X1154 AVE PONTEZUELA
Practice Address - Street 2:VISTAMAR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-2060
Practice Address - Country:US
Practice Address - Phone:787-607-6007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17055207Q00000X
PR16987208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty