Provider Demographics
NPI:1861375263
Name:ISLAND WOMENS WELLNESS INC
Entity type:Organization
Organization Name:ISLAND WOMENS WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PENUELA-LADAGA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:305-298-5707
Mailing Address - Street 1:91555 OVERSEAS HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2505
Mailing Address - Country:US
Mailing Address - Phone:305-304-8090
Mailing Address - Fax:855-538-1002
Practice Address - Street 1:91555 OVERSEAS HWY STE 3
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2505
Practice Address - Country:US
Practice Address - Phone:305-304-8090
Practice Address - Fax:855-538-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty