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WILDERNESS MEDICAL CORP
NPI 1487105045
Clinic/Center - Primary Care in Yauco, PR

Active since October 19, 2016
14 CALLE PASARELL, BAJOS, YAUCO, PR 00698(787) 396-5183 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2016, Oct 19, 2016 (2 updates tracked since 2016).

About Wilderness Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILDERNESS MEDICAL CORP (NPI 1487105045) is a healthcare organization registered as a primary care in Yauco, Puerto Rico and active in the NPI registry since October 2016. The organization lists Pablo Decastro, Pressident, as its authorized official.

NPPES Registry Identity

NPI1487105045
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWILDERNESS MEDICAL CORP
Location Address14 CALLE PASARELL, BAJOSYauco, PR 00698
Mailing Address830 Calle Vereda, Urb. Valle VerdePonce, PR 00716-3515 · (787) 396-5183
Phone(787) 396-5183
Organization SubpartNo
Authorized OfficialPablo DecastroPressident · (787) 396-5183
Enumeration DateOctober 19, 2016
Last NPPES UpdateNovember 2, 20162 updates tracked since enumeration
✔ NPI 1487105045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PR · 15123
14 CALLE PASARELL, Yauco, PR 00698
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN1083838759PR

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CESAR A. ROSARIO PEGUERO MD CSP
Clinic/Center (Health Service)
14 CALLE PASARELL
YAUCO, PR 00698
Yauco Municipio (787) 856-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilderness Medical Corp's NPI number?

The NPI number for Wilderness Medical Corp is 1487105045. It was assigned to this organization in the NPPES registry on October 19, 2016.

Where is Wilderness Medical Corp located?

Wilderness Medical Corp is located at 14 Calle Pasarell Bajos, Yauco, PR 00698. The listed phone number is (787) 396-5183.

What is Wilderness Medical Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Wilderness Medical Corp was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.