Organization Active NPI

Advance Wound Care Clinic Inc

  • Health Educator
  • Caguas, PR
National Provider Identifier
1144502964
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
ADVANCE WOUND CARE CLINIC INC
Practice address
Urb Mariolga V 27
Ave Munoz Marin
Caguas, PR 00725
Phone
(787) 595-0385
Fax
(787) 735-7613
NPI assigned
Sep 19, 2011
Last updated
Sep 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Yoselyn Mercado
Title
Presidenta
Phone
(787) 595-0385

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU
General Practice Physician 208D00000X NU
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

Urb Mariolga V 27
Ave Munoz Marin
Caguas, PR 00725

Mailing address

Urb Mariolga V 27
Ave Munoz Marin
Caguas, PR 00725
Phone (787) 595-0385

National Provider Directory

National Provider Directory

Locations

V27 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 595-0385

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1144502964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB MARIOLGA V 27",
            "address_2": "AVE MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-595-0385",
            "fax_number": "787-735-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB MARIOLGA V 27",
            "address_2": "AVE MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-595-0385",
            "fax_number": "787-735-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE WOUND CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "YOSELYN",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-595-0385"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.