Provider Demographics
NPI:1598337420
Name:WF MEDICAL SERVICES CORP
Entity Type:Organization
Organization Name:WF MEDICAL SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FRED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:939-638-1626
Mailing Address - Street 1:PMB 708
Mailing Address - Street 2:AVE LUIS MUNOZ MARIN 20
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:939-638-1626
Mailing Address - Fax:
Practice Address - Street 1:URB FERNANDEZ FRANCISCO CRUZ HADDOCK 4
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:939-638-1626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty