Provider Demographics
NPI:1851703490
Name:WJ MEDICAL CONSULTING
Entity Type:Organization
Organization Name:WJ MEDICAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:JUARBE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:787-438-8336
Mailing Address - Street 1:PO BOX 3001
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-3001
Mailing Address - Country:US
Mailing Address - Phone:787-438-8336
Mailing Address - Fax:
Practice Address - Street 1:CALLE 176 KM9.4
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-438-8336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier