Organization
WOUND CARE SPECIALISTS OF RI, LLC
Active
Other names
Wound Care Specialists, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN BRENES (CHIEF OPERATING OFFICER)
(203) 598-6045
Entity
Organization
Contact information
Practice address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(203) 598-6045
(203) 879-0834
Mailing address
76 BATTERSON PARK RD STE 106, FARMINGTON, CT 06032-2571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/26/2020
Last updated
10/23/2023
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