Organization
PRESTIGE WOUND CARE, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL ESPINOSA (PRESIDENT)
(787) 845-8100
Entity
Organization
Contact information
Practice address
CARR 153 KM 9.5, SANTA ISABEL, PR 00757
(787) 845-8100
(787) 845-8101
Mailing address
PO BOX 2042, COAMO, PR 00769-4042
(787) 845-8100
(787) 845-8101
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
AMP451
PR
Other
Enumeration date
07/27/2009
Last updated
06/08/2012
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