Healthcare Provider Details

I. General information

NPI: 1083564686
Provider Name (Legal Business Name): WOUNDWORX CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB LEVITOWN JR5 7MA SECCION C/ LIZZIE GRAHAM
TOA BAJA PR
00949
US

IV. Provider business mailing address

URB LEVITOWN JR5 7MA SECCION C/ LIZZIE GRAHAM
TOA BAJA PR
00949
US

V. Phone/Fax

Practice location:
  • Phone: 787-444-1721
  • Fax:
Mailing address:
  • Phone: 787-444-1721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RAYMOND D GERENA
Title or Position: PRESIDENT
Credential: ETC
Phone: 787-444-1721