Healthcare Provider Details

I. General information

NPI: 1376107599
Provider Name (Legal Business Name): WALKING NURSES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 04/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A21 VILLA SERAL
LARES PR
00669-3002
US

IV. Provider business mailing address

A21 VILLA SERAL
LARES PR
00669-3002
US

V. Phone/Fax

Practice location:
  • Phone: 939-244-8713
  • Fax:
Mailing address:
  • Phone: 939-244-8713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: LUIS CARLOS RUIZ TORRES
Title or Position: PRESIDENT AND EXECUTIVE DIRECTOR
Credential: RN, BSN
Phone: 939-244-8713