Provider Demographics
NPI:1912635434
Name:ALAMEDAS WOUND CLINIC INC
Entity Type:Organization
Organization Name:ALAMEDAS WOUND CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:HECMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAMEDA BLANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-245-1171
Mailing Address - Street 1:HC 03 BOX 19875
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667
Mailing Address - Country:US
Mailing Address - Phone:787-245-1171
Mailing Address - Fax:
Practice Address - Street 1:CARR 101 KM 10 HM 7
Practice Address - Street 2:BARRIO LOS LLANOS
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667
Practice Address - Country:US
Practice Address - Phone:787-245-1171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-11
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty