Advanced Wound Healing Corp.
Organization Active NPI Multi-Specialty Clinic/Center · Santurce, PR
NPI 1194885863 · NPPES record last updated Apr 1, 2011
Key facts
- NPI
- 1194885863
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ADVANCED WOUND HEALING CORP.
- Practice address
- Calle San Rafael 1393
Santurce, PR 00910-2123 - Phone
- (787) 999-7620
- Fax
- (787) 725-2124
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Luis F Chinea
- Title
- President
- Phone
- (787) 999-7620
Practitioners 8
-
Erika I Torres Matos, M.D.
-
Zorelisa Gonzalez Adorno, M.D.
-
Randy Omar Marquez Caban, M.D.
-
Roberto A Menjivar, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070417000056 | PR | Part B Supplier - Clinic/Group Practice | 0345345591 |
Receives reassigned benefits from 4 practitioners Practice locations: San Juan, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
Calle San Rafael 1393
Santurce, PR 00910-2123
Mailing address
PO Box 11023
San Juan, PR 00910-2123
Phone (787) 999-7620
Other providers in Santurce, PR
- A & B OB-GYN Group
- Advance OB/GYN, P.S.C.
- Edgardo Alberty
- Otto L Aldahondo
- Nancy Alejandro
- Alpha Ambulance Inc.
- Antolin J Alvarez Pont
All providers in Santurce, PR · Multi-Specialty Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.