Provider Demographics
NPI:1669709291
Name:CARIBBEAN WOUND CARE AND HYPERBARIC CENTER CSP
Entity type:Organization
Organization Name:CARIBBEAN WOUND CARE AND HYPERBARIC CENTER CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-653-6090
Mailing Address - Street 1:URB LA SERRANIA
Mailing Address - Street 2:122 CALLE GARDENIA
Mailing Address - City:CAGUAS
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00725
Mailing Address - Country:AX
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:URB TURABO GARDENS CARR 172
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00725
Practice Address - Country:AX
Practice Address - Phone:7877-653-6090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty