Provider Demographics
NPI:1275399701
Name:WOUNDCARE NETWORK SOLUTIONS, LLC
Entity Type:Organization
Organization Name:WOUNDCARE NETWORK SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:PELAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-284-7484
Mailing Address - Street 1:3750 NW 87TH AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2433
Mailing Address - Country:US
Mailing Address - Phone:305-284-7484
Mailing Address - Fax:
Practice Address - Street 1:3750 NW 87TH AVE STE 500
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-2433
Practice Address - Country:US
Practice Address - Phone:305-284-7484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty