| Organization Name: | HYPERBARIC AND WOUND CARE CENTER OF PUERTO RICO |
| NPI Number: | 1760709059 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIEZER SOSA FARIA (ADMINISTRATOR) |
| Mailing Address: | Ave. Hostos #410, Carr 2 Centro Medico De Mayaguez, Primer Piso Suite 1 Mayaguez |
| State: | PR US |
| Postal Code: | 00660 |
| Phone Number: | 7878320653 |
| Fax Number: | 7878310266 |
| NPI Enumeration Date: | 04/26/2010 |
| NPI Last Update Date: | 04/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 014191 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |