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General NPI Number Information
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NPI Number | 1649112434
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Entity Type | Organization
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Legal Business Name | ADVANCE INFUSION AND WOUNDCARE LLC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | WILSON M35 PARKVILLE
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-344-5609
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Fax |
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Provider Business Mailing Address
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Address Line | 800 AVE RAFAEL HERNANDEZ MARIN
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City | SAN JUAN
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State | PR
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Zip | 00924-5222
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Country | US
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Telephone | 787-776-2290
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARMEN D MASSANET
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Credential | MD
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Telephone | 787-528-5741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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