Provider Demographics
NPI:1700607728
Name:SALUD & BIENESTAR DEL INDIVIDUO LLC
Entity type:Organization
Organization Name:SALUD & BIENESTAR DEL INDIVIDUO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:787-579-7430
Mailing Address - Street 1:EST. DEL PARRA
Mailing Address - Street 2:131 CALLE RED
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-0000
Mailing Address - Country:US
Mailing Address - Phone:787-579-7430
Mailing Address - Fax:
Practice Address - Street 1:EST. DEL PARRA
Practice Address - Street 2:L-15 CALLE RED
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-0000
Practice Address - Country:US
Practice Address - Phone:787-579-7430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy