Provider Demographics
NPI:1013637305
Name:BE WELL DIABETES AND ENDOCRINE CENTER
Entity type:Organization
Organization Name:BE WELL DIABETES AND ENDOCRINE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABACAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-419-2152
Mailing Address - Street 1:2692 S AVENUE B
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7060
Mailing Address - Country:US
Mailing Address - Phone:928-783-5857
Mailing Address - Fax:
Practice Address - Street 1:2692 S AVENUE B
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7060
Practice Address - Country:US
Practice Address - Phone:928-783-5857
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty