Provider Demographics
NPI:1710791751
Name:WOUNDCARE CONNECT LLC
Entity type:Organization
Organization Name:WOUNDCARE CONNECT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:IGNACIO
Authorized Official - Last Name:UNT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:671-687-7400
Mailing Address - Street 1:120 KAYEN KADADA
Mailing Address - Street 2:
Mailing Address - City:DEDEDO
Mailing Address - State:GUAM (GU) UNITED STATES
Mailing Address - Zip Code:96929
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:120 KAYEN KADADA
Practice Address - Street 2:
Practice Address - City:DEDEDO
Practice Address - State:GUAM (GU) UNITED STATES
Practice Address - Zip Code:96929
Practice Address - Country:UM
Practice Address - Phone:671-727-8811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-01
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty