Healthcare Provider Details
I. General information
NPI: 1619377660
Provider Name (Legal Business Name): ASISTENCIA DORADA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2014
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
CALLE MARGINAL E-7 SANTA ROSA
BAYAMON PR
00957-2536
US
IV. Provider business mailing address
E7 CALLE MARGINAL
BAYAMON PR
00961-6708
US
V. Phone/Fax
- Phone: 787-306-8356
- Fax: 787-289-8715
- Phone: 787-306-8356
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WW0000X |
| Taxonomy | Wound Care Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARCILIO
ALVARADO ROSAS
III
Title or Position: PRESIDENT
Credential:
Phone: 787-690-9018