Provider Demographics
NPI:1194885863
Name:ADVANCED WOUND HEALING CORP.
Entity type:Organization
Organization Name:ADVANCED WOUND HEALING CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:CHINEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-999-7620
Mailing Address - Street 1:PO BOX 11023
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-2123
Mailing Address - Country:US
Mailing Address - Phone:787-999-7620
Mailing Address - Fax:787-725-2124
Practice Address - Street 1:CALLE SAN RAFAEL 1393
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00910-2123
Practice Address - Country:US
Practice Address - Phone:787-999-7620
Practice Address - Fax:787-725-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty