Provider Demographics
NPI:1992248520
Name:WOUND CARE AND HYPERBARIC PHYSICIAN LLC
Entity type:Organization
Organization Name:WOUND CARE AND HYPERBARIC PHYSICIAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:L
Authorized Official - Last Name:MACHADO-TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD FAPWCA,FAPWHFACHM
Authorized Official - Phone:787-229-1333
Mailing Address - Street 1:107 CALLE MARIA MONAGAS LOCAL 1
Mailing Address - Street 2:ESQ 65 INFANTERIA
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610
Mailing Address - Country:US
Mailing Address - Phone:787-229-1333
Mailing Address - Fax:787-229-1332
Practice Address - Street 1:107 CALLE MARIA MONAGAS LOCAL 1
Practice Address - Street 2:ESQ 65 INFANTERIA
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-229-1333
Practice Address - Fax:787-229-1332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty