Provider Demographics
NPI:1851630321
Name:CENTRO DE CURACION DE HERIDAS DEL CARIBE, INC
Entity Type:Organization
Organization Name:CENTRO DE CURACION DE HERIDAS DEL CARIBE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTE-MALAVE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:787-831-7437
Mailing Address - Street 1:PO BOX 3881
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-3881
Mailing Address - Country:US
Mailing Address - Phone:787-931-7850
Mailing Address - Fax:787-931-7940
Practice Address - Street 1:#18 SEVERIANO CUEVAS AVE. RT #2 KM 141.1
Practice Address - Street 2:HOSPITAL BUEN SAMARITANO
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-931-7850
Practice Address - Fax:787-931-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-04
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center