Organization Active NPI

Carolina Wound & Skin Care LLC

  • Health Service Clinic/Center
  • Carolina, PR
National Provider Identifier
1447081492
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CAROLINA WOUND & SKIN CARE LLC
Doing business as
Carolina Wound & Skin Care LLC
Practice address
Ave Roberto Sanchez Vilella a-6
Castellana Gardens
Carolina, PR 00983
Phone
(787) 752-7897
NPI assigned
Aug 12, 2024
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Dr. Luis Rodriguez Carrasquillo, MD
Title
Medico
Phone
(787) 752-7897

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

Ave Roberto Sanchez Vilella a-6
Castellana Gardens
Carolina, PR 00983

Mailing address

PO Box 3762
Carolina, PR 00984-3762
Phone (787) 752-7897

Other names 1

  • CAROLINA WOUND & SKIN CARE LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1447081492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3762",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843762",
            "telephone_number": "787-752-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ROBERTO SANCHEZ VILELLA A-6",
            "address_2": "CASTELLANA GARDENS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-752-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA WOUND & SKIN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ CARRASQUILLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "787-752-7897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAROLINA WOUND & SKIN CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAROLINA WOUND & SKIN CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.