NPIMap

Organization Active NPI

-

Doing business as Premierwound.care

  • General Practice Physician
  • Gilbert, AZ
National Provider Identifier
1518779461
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
-
Doing business as
Premierwound.care
Practice address
920 W Breckenridge Ave
Gilbert, AZ 85233-3762
Phone
(520) 399-5671
Fax
(480) 900-8472
NPI assigned
Jan 27, 2025
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Carlos Herrera
Title
Manager
Phone
(520) 399-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

920 W Breckenridge Ave
Gilbert, AZ 85233-3762

Mailing address

920 W Breckenridge Ave
Gilbert, AZ 85233-3762
Phone (520) 399-5671

Other names 1

  • Premierwound.care Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1518779461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W BRECKENRIDGE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333762",
            "telephone_number": "520-399-5671",
            "fax_number": "480-900-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W BRECKENRIDGE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333762",
            "telephone_number": "520-399-5671",
            "fax_number": "480-900-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "-",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-399-5671"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premierwound.care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.