Organization · NPI-2

Advance Wound Care Clinic INC

Health Educator · Caguas, PR

NPI number1144502964
StatusActive
Last updated in NPPESSep 19, 2011

Details

NPI
1144502964
Entity type
Organization (NPI-2)
Legal business name
Advance Wound Care Clinic INC
Organization subpart
No
Enumeration date
Sep 19, 2011
Last updated
Sep 19, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174H00000X Health Educator––Yes
208D00000X General Practice––
163WW0000X Registered Nurse, Wound Care––

Practice location

Urb Mariolga V 27
Ave Munoz Marin
Caguas, PR 00725

Phone 787-595-0385 · Fax 787-735-7613

Mailing address

Urb Mariolga V 27
Ave Munoz Marin
Caguas, PR 00725

Phone 787-595-0385 · Fax 787-735-7613

Authorized official

Yoselyn Mercado
Presidenta
7875950385

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