| NPI | 1649080789 |
|---|---|
| Former Legal Business Name | DR. BAGUE WELLNESS CLINIC AND WOUND HEALING LLC |
| Entity Type | Organization |
| Authorized Contact | ISMAEL BAGUE President 787-614-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-23 |