A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Bariatric Medicine |
207QB0002X | 08 | Physician/Family Practice | |
Electrodiagnostic Medicine |
204R00000X | |||
Homeopath |
175L00000X | |||
Preventive Medicine/Occupational-Environmental Medicine |
2083P0500X | 84 | Physician/Preventive Medicine |
| NPI # | 1912278664 |
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| LBN Legal business name | CENTER FOR WELLNESS | ||||
| Authorized official | JORGE MORENO - (PRACTITIONER / PHYSICIAN) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/25/2012 | ||||
| Last updated | 06/28/2021 - About 5 years ago | ||||
| Identifiers |
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CENTER FOR WELLNESS
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