# ADVANCE WOUND CARE CLINIC INC

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

## Provider details

- **NPI number:** 1144502964
- **Authorized official:** YOSELYN MERCADO (PRESIDENTA)
- **Authorized official phone:** (787) 595-0385

## Contact information

- **Practice address:** URB MARIOLGA V 27, AVE MUNOZ MARIN, CAGUAS, PR 00725
- **Practice address phone:** (787) 595-0385
- **Practice address fax:** (787) 735-7613
- **Mailing address:** URB MARIOLGA V 27, AVE MUNOZ MARIN, CAGUAS, PR 00725
- **Mailing address phone:** (787) 595-0385
- **Mailing address fax:** (787) 735-7613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 09/19/2011
- **Last updated:** 09/19/2011