# CARIBBEAN WOUND CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104302538
- **Authorized official:** DR. VICTOR RICARDO ARRIETA MD (PRESIDENT)
- **Authorized official phone:** (787) 430-0314

## Contact information

- **Practice address:** GO4 B AVE CAMPO RICO, URB COUNTRY CLUB, CAROLINA, PR 00982
- **Practice address phone:** (787) 430-0314
- **Practice address fax:** (787) 750-0195
- **Mailing address:** PO BOX 1792, CAROLINA, PR 00984-1792
- **Mailing address phone:** (787) 430-0314
- **Mailing address fax:** (787) 750-0195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 25552 | PR | — |
| 163W00000X | Registered Nurse | 30381 | PR | — |
| 163WH0200X | Home Health Registered Nurse | 25552 | PR | — |
| 163WH0200X | Home Health Registered Nurse | 30381 | PR | — |
| 163WI0500X | Infusion Therapy Registered Nurse | 25552 | PR | — |
| 163WI0500X | Infusion Therapy Registered Nurse | 30381 | PR | — |
| 163WW0000X | Wound Care Registered Nurse | 25552 | PR | — |
| 163WW0000X | Wound Care Registered Nurse | 30381 | PR | — |
| 207R00000X | Internal Medicine Physician | 8617 | PR | Yes |
| 208M00000X | Hospitalist Physician | 8617 | PR | — |
| 261QH0100X | Health Service Clinic/Center | 8617 | PR | — |
| 261QI0500X | Infusion Therapy Clinic/Center | 8617 | PR | — |

## Other

- **Enumeration date:** 07/18/2018
- **Last updated:** 07/18/2018