AQUARIUS MEDICAL & WELLNESS CLINIC, LLC; NPI #1689472904

Contact Information

AQUARIUS MEDICAL & WELLNESS CLINIC, LLC

6 CALLE MEDICO STE 4
SANTA FE, NM 87505-4761

Phone: 813-484-2335
Fax: 505-395-9251
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for AQUARIUS MEDICAL & WELLNESS CLINIC, LLC

NPI #	`1689472904`
LBN Legal business name	AQUARIUS MEDICAL & WELLNESS CLINIC, LLC
Authorized official	ELIZABETH OLIS - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/04/2025
Last updated	07/21/2025 - About 11 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AQUARIUS MEDICAL & WELLNESS CLINIC, LLC

Contact Information

Specialty

Primary Care

Primary Care

NPI Profile & details for AQUARIUS MEDICAL & WELLNESS CLINIC, LLC

Reviews for AQUARIUS MEDICAL & WELLNESS CLINIC, LLC