Organization Active NPI

Hyperbaric and Wound Care Center of Puerto Rico

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1760709059
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
014191 Issued in PR
Legal business name
HYPERBARIC AND WOUND CARE CENTER OF PUERTO RICO
Practice address
Ave. Hostos #410, Carr 2
Centro Medico de Mayaguez, Primer Piso Suite 1
Mayaguez, PR 00660
Phone
(787) 832-0653
Fax
(787) 831-0266
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Eliezer Sosa Faria
Title
Administrator
Phone
(787) 832-0653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 014191 PR Primary

Addresses

Primary practice location

Ave. Hostos #410, Carr 2
Centro Medico de Mayaguez, Primer Piso Suite 1
Mayaguez, PR 00660

Mailing address

15 Luis F. de Jesus
Juana Diaz, PR 00795
Phone (787) 832-0653

National Provider Directory

National Provider Directory

Locations

410 Ave Hostos
Ste 1
Mayaguez, PR 00682
Phone (787) 832-6015

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1760709059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LUIS F. DE JESUS",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-832-0653",
            "fax_number": "787-831-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. HOSTOS #410, CARR 2",
            "address_2": "CENTRO MEDICO DE MAYAGUEZ, PRIMER PISO SUITE 1",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-832-0653",
            "fax_number": "787-831-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYPERBARIC AND WOUND CARE CENTER OF PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "FARIA",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_middle_name": "SOSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-832-0653"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "014191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.