Healthcare Provider Details

I. General information

NPI: 1649112434
Provider Name (Legal Business Name): ADVANCE INFUSION AND WOUNDCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WILSON M35 PARKVILLE
GUAYNABO PR
00969
US

IV. Provider business mailing address

800 AVE RAFAEL HERNANDEZ MARIN
SAN JUAN PR
00924-5222
US

V. Phone/Fax

Practice location:
  • Phone: 787-344-5609
  • Fax:
Mailing address:
  • Phone: 787-776-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARMEN D MASSANET
Title or Position: PRESIDENT
Credential: MD
Phone: 787-528-5741