Provider Demographics
NPI:1356312870
Name:METROPOLITAN WOUND CARE
Entity Type:Organization
Organization Name:METROPOLITAN WOUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EFRAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ DROZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-723-2324
Mailing Address - Street 1:#150 AVE DE DIEGO
Mailing Address - Street 2:SUITE #201 SAN JUAN HEALTH CENTRE
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-723-2324
Mailing Address - Fax:787-723-2391
Practice Address - Street 1:#150 AVE DE DIEGO
Practice Address - Street 2:SUITE #201 SAN JUAN HEALTH CENTRE
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00907
Practice Address - Country:US
Practice Address - Phone:787-723-2324
Practice Address - Fax:787-723-2391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR84768Medicare ID - Type Unspecified