| Puerto Rico Wound Care Clinic, Llc | |
|
11 Calle Betances San Sebastian PR 00685-2317 | |
| (787) 385-1055 | |
| Not Available |
| Full Name | Puerto Rico Wound Care Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11 Calle Betances, San Sebastian, Puerto Rico |
| Authorized Official Name and Position | Margarita Torres Miranda (PRESIDENT) |
| Authorized Official Contact | 7873851055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Puerto Rico Wound Care Clinic, Llc Calle Betances #11 San Sebastian PR 00685-0000 Ph: (787) 385-1055 | Puerto Rico Wound Care Clinic, Llc 11 Calle Betances San Sebastian PR 00685-2317 Ph: (787) 385-1055 |
| NPI Number | 1861184897 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 5193188860 |
|---|---|
| Medicare Enrollment ID | O20230828003838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861184897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Margarita Torres Miranda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508387671 PECOS PAC ID: 9335569417 Enrollment ID: I20201009002278 |
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