MEDICARE: WGM HEALTH SERVICES LLC

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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871169219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WGM HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	3197 CALLE RIO GUAYABO
Second Line	:
City	:	TOA ALTA
State	:	PR
Zip	:	00953-9120
Country	:	US
Telephone Number	:	787-667-9943
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARR 831 KM 4 7 MINILLAS
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00960-9998
Country	:	US
Telephone Number	:	787-995-0884
Fax Number	:	939-336-4099

Authorized Official
Title or Position	:	ADMINISTRADOR
Name	:	WILLIAM GARCIA
Credential	:	MD
Telephone Number	:	787-995-0884

Provider Enumeration Date	:	05/27/2021
Last Update Date	:	05/27/2021

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Directions to “WGM HEALTH SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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