WILDERNESS MEDICAL CORP – NPI #1760871792
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

WILDERNESS MEDICAL CORP is a provider located in PONCE, PR. NPPES has assigned the NPI number 1760871792 to WILDERNESS MEDICAL CORP on January 14, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILDERNESS MEDICAL CORP below.

NPI Profile for
WILDERNESS MEDICAL CORP

NPI Number
1760871792
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILDERNESS MEDICAL CORP
Primary location
830 CALLE VEREDA
URB VALLE VERDE
PONCE, PR 00716
Phone: (787) 396-5183 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PABLO DE CASTRO
PRESIDENT
Phone: (787) 396-5183
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 PR 15123

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.