Prestige Wound Care, Corp.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

AMP451 Issued in PR

Legal business name

PRESTIGE WOUND CARE, CORP.

Practice address

Carr 153 KM 9.5
Santa Isabel, PR 00757

Phone

(787) 845-8100

Fax

(787) 845-8101

NPI assigned

Jul 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Joel Espinosa

Title

President

Phone

(787) 845-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1801026729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2042",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007694042",
            "telephone_number": "787-845-8100",
            "fax_number": "787-845-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 153 KM 9.5",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-8100",
            "fax_number": "787-845-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE WOUND CARE, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-845-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PR",
            "license": "AMP451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio A. Peguero Rivera, M.D.
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• Keysha Pomales Cruz, PHARMD
• Primary & Internal Medicine
• PT Medical Services, Inc.
• Puerto Rico Emergency Medical Service and Transportation Corp
• Raul Quesada
• David Rafael Questell Alvarado, M.D.

• Oxygen Equipment & Supplies (DME) in Santa Isabel, PR
• Providers in Santa Isabel, PR by specialty
• Oxygen Equipment & Supplies (DME) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.