Provider Demographics
NPI:1255090031
Name:NWC CORP
Entity type:Organization
Organization Name:NWC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:EUGENIA
Authorized Official - Last Name:RODRIGUEZ ZAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,ND,MT
Authorized Official - Phone:787-688-5387
Mailing Address - Street 1:ESCORIAL BUILDING ONE
Mailing Address - Street 2:1400 AVE. DE DIEGO SUITE 220C PARQUE ESCORIAL
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987
Mailing Address - Country:US
Mailing Address - Phone:787-688-5387
Mailing Address - Fax:
Practice Address - Street 1:ESCORIAL BUILDING ONE
Practice Address - Street 2:1400 AVE. DE DIEGO SUITE 220C PARQUE ESCORIAL
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987
Practice Address - Country:US
Practice Address - Phone:787-688-5387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care