Healthcare Provider Details

I. General information

NPI: 1548146723
Provider Name (Legal Business Name): HORIZON WOUND CARE AND HEALING CONCEPT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 167 MARGINAL FOREST HILLS B - 8
BAYAMON PR PR
00959
US

IV. Provider business mailing address

PO BOX 1045
DORADO PR
00646-1045
US

V. Phone/Fax

Practice location:
  • Phone: 787-989-0414
  • Fax:
Mailing address:
  • Phone: 787-989-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: ROBERTO MARTINEZ SUAREZ
Title or Position: PRESIDENT
Credential: MD, PHD
Phone: 787-989-0414