Provider Demographics
NPI:1689990657
Name:BEHAVIORAL HEALTH AND WELLNESS, CORP.
Entity Type:Organization
Organization Name:BEHAVIORAL HEALTH AND WELLNESS, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYC
Authorized Official - Phone:787-364-0484
Mailing Address - Street 1:AVE. LOMAS VERDES 1C-14B
Mailing Address - Street 2:SUITE 175
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-269-2046
Mailing Address - Fax:787-296-4381
Practice Address - Street 1:AVE. LOMAS VERDES
Practice Address - Street 2:A-14
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-269-2046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center