Provider Demographics
NPI:1932852324
Name:NEUROWELLNESS,LLC
Entity Type:Organization
Organization Name:NEUROWELLNESS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NEUROPSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SANCHEZ GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:939-258-5700
Mailing Address - Street 1:PO BOX 262212
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2653
Mailing Address - Country:US
Mailing Address - Phone:939-258-5700
Mailing Address - Fax:
Practice Address - Street 1:AVE. DEGETAU
Practice Address - Street 2:A18 URB. BONEVILLE TERRACE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:939-745-5500
Practice Address - Fax:561-944-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty