| Organization Name: | PRIMARY WOUND AND ULCER CARE CENTER, INC. |
| NPI Number: | 1043432487 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLOS R CARDONA (PRESIDENT) |
| Mailing Address: | Car 110 Km 0.9 Barrio Ceiba Baja Aguadilla |
| State: | PR US |
| Postal Code: | 006035643 |
| Phone Number: | 7878910055 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 04/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |