Provider Demographics
NPI:1639772817
Name:FAMILY HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:FAMILY HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-783-0700
Mailing Address - Street 1:12A CALLE BUEN SAMARITANO
Mailing Address - Street 2:JUAN DOMINGO
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-7933
Mailing Address - Country:US
Mailing Address - Phone:787-783-0700
Mailing Address - Fax:787-783-1502
Practice Address - Street 1:12A CALLE BUEN SAMARITANO
Practice Address - Street 2:JUAN DOMINGO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-7933
Practice Address - Country:US
Practice Address - Phone:787-783-0700
Practice Address - Fax:787-783-1502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care