Primary Wound and Ulcer Care Center, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIMARY WOUND AND ULCER CARE CENTER, INC.

Practice address

Car 110 KM 0.9
Barrio Ceiba Baja
Aguadilla, PR 00603-5643

Phone

(787) 891-0055

NPI assigned

May 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carlos R Cardona, M.D.NPI 1629067707

Title

President

Phone

(787) 891-0055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos R Cardona, M.D.

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1629067707
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1043432487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 110 KM 0.9",
            "address_2": "BARRIO CEIBA BAJA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035643",
            "telephone_number": "787-891-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAR 110 KM 0.9",
            "address_2": "BARRIO CEIBA BAJA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035643",
            "telephone_number": "787-891-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY WOUND AND ULCER CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "CARDONA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-891-0055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loida M Portalatin Perez, PHARMD
• Edwin Portalatin, MD
• Edgar Allan Pou Acevedo, MD
• Prevention Medical Services PSC
• Primary & Occupational Medical Office Inc
• Psicobienestar LLC
• Psicologas del Oeste LLC
• Puerto Rico Rheumatology LLC
• Arleen Soralla Quiles
• Michelle Quinones Pellot

• Primary Care Clinic/Center in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.