Provider Demographics
NPI:1053081729
Name:ANEW HEALTH & WELLNESS PSC
Entity type:Organization
Organization Name:ANEW HEALTH & WELLNESS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLEGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-668-7872
Mailing Address - Street 1:PO BOX 1521
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-1521
Mailing Address - Country:US
Mailing Address - Phone:787-668-7872
Mailing Address - Fax:
Practice Address - Street 1:1739 CARR 8838 BO MONACILLO
Practice Address - Street 2:CHIRINO OFFICE PLAZA, SUITE 204M
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2745
Practice Address - Country:US
Practice Address - Phone:787-505-0275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty