Provider Demographics
NPI:1801013610
Name:WELLNESS & LIFE MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:WELLNESS & LIFE MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIZARRO-SKERRET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-637-6871
Mailing Address - Street 1:CIUDAD JARDIN 3
Mailing Address - Street 2:UCAR 24
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-637-6871
Mailing Address - Fax:
Practice Address - Street 1:URB. SANTIAGO IGLESIAS
Practice Address - Street 2:1753 AVE. PAZ GRANELA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-596-8201
Practice Address - Fax:787-766-0813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty