Provider Demographics
NPI:1457186579
Name:GUAYAMA NATUROPATHIC MEDICINE
Entity type:Organization
Organization Name:GUAYAMA NATUROPATHIC MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYSON
Authorized Official - Middle Name:O
Authorized Official - Last Name:FUENTES SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:787-341-9758
Mailing Address - Street 1:URB JARDINES DE LAFAYETTE NH-12
Mailing Address - Street 2:
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714
Mailing Address - Country:US
Mailing Address - Phone:787-341-9758
Mailing Address - Fax:
Practice Address - Street 1:C-1 KM 138.2 CARRETERA ESTATAL # 3 ESQUINA CALLE BERING
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-628-2657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty