Provider Demographics
NPI:1558520387
Name:HEALTH & BODY SOLUTIONS CORPORATION
Entity Type:Organization
Organization Name:HEALTH & BODY SOLUTIONS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/NUTRITIONIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ILEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMACHO
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:787-796-0959
Mailing Address - Street 1:425 ROAD 693 PMB 179
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-796-0959
Mailing Address - Fax:787-796-0959
Practice Address - Street 1:SARDINERA BEACH BUILDING SUITE 4
Practice Address - Street 2:URB COSTA DE ORO MARGINAL
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-2248
Practice Address - Country:US
Practice Address - Phone:787-796-0959
Practice Address - Fax:787-796-0959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-06
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR806261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRQ-64302Medicare UPIN
PR5-7649Medicare PIN