Provider Demographics
NPI:1679985758
Name:CARIBBEAN WELLNESS CENTER
Entity type:Organization
Organization Name:CARIBBEAN WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:787-980-9449
Mailing Address - Street 1:284 AVE DR SUSONI
Mailing Address - Street 2:284A
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-2126
Mailing Address - Country:US
Mailing Address - Phone:787-980-9449
Mailing Address - Fax:
Practice Address - Street 1:284 AVE DR SUSONI
Practice Address - Street 2:284A
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-2126
Practice Address - Country:US
Practice Address - Phone:787-980-9449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-23
Last Update Date:2014-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty