MEDICARE: RCP WOUND CARE AND MEDICAL EQUIPMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	1	PR

General Provider Information

NPI Number	:	1033101605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RCP WOUND CARE AND MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	9 CARR 21
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-2609
Country	:	US
Telephone Number	:	787-782-6523
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 CARR 21
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-2609
Country	:	US
Telephone Number	:	787-782-6523
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PEDRO RIVRA CABALLERO
Credential	:	MD
Telephone Number	:	787-782-6523

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/21/2022

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