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, NPI 1902808108

Prosthetic/Orthotic Supplier in BAYAMON, PR

Last Updated on : Sep 04,2019

About (NPI 1902808108)


is a Prosthetic/Orthotic Supplier in BAYAMON, United States

1902808108 is NPI number of .

's primary taxonomy code based on NPI Lookup is 335E00000X . This taxonomy code refers to Prosthetic/Orthotic Supplier.

current practice location address is 28 CALLE SANTA CRUZ, BAYAMON, PR. can be reached out via phone at 787-740-2934 and via fax at 787-288-0704 .

You can also correspond with through mail at mailing address 28 CALLE SANTA CRUZ, BAYAMON, PR, United States. Mailing address contact number is 787-740-2934.

The enumeration date of is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 3 years ago.

The authorized official of is Raymond Matos (President / CEO). Raymond Matos can be reached at 7877402934.

1902808108 NPI Information

Name
National Provider Id (NPI) 1902808108
Entity Type Organization
Practice Address 28 CALLE SANTA CRUZ,
BAYAMON, PR, United States
Practice Telephone 787-740-2934
Practice Fax Number 787-288-0704
Mailing Address 28 CALLE SANTA CRUZ ,
BAYAMON, PR, United States
Mailing Telephone 787-740-2934
Mailing Fax Number 787-288-0704
Enumeration Date 01-Jun-2005
Last Updated Date 04-Sep-2019

(NPI 1902808108) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 335E00000X Prosthetic/Orthotic Supplier

(NPI 1902808108) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 332B00000X Durable Medical Equipment & Medical Supplies

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
1143330001 MEDICARE NSC (07) PR
1143330001 MEDICARE PIN (08) PR

(NPI 1902808108) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1477551984 BENITO HERNANDEZ Obstetrics & Gynecology PO BOX 8731, CALLE J ESQ. CALLE B OH. 106 EDIL. MED. HNAS DAUILA
BAYAMON, PR, United States
08-Jul-2005
1124006952 CARLINA I. N. TORRES General Practice PO BOX 4165,
BAYAMON, PR, United States
03-Jan-2006
1255661922 NILSA GONZALEZ Nurse Practitioner, Family MQ39 PLAZA 38, MONTE CLARO
BAYAMON, PR, United States
01-Jan-2010
1306903422 PEDRO C ROMAN EYXARCH Internal Medicine PO BOX 1617,
BAYAMON, PR, United States
02-Jan-2007
1013192244 CLINICA DENTAL DRA. ZOILA I. BAEZ ORTIZ Clinic/Center, Dental 90 AVE. RIO HONDO, PMB SUITE 418
BAYAMON, PR, United States
07-Jan-2008
1295972198 YOLANDA GUTIERREZ Pharmacist H26 CALLE 6, URB VISTA BELLA
BAYAMON, PR, United States
14-Jan-2009
1033456587 AMARILIS RAMOS-RIVERA Psychologist, Clinical PO BOX 3539,
GUAYNABO, PR, United States
03-Jan-2013
1760803175 CARLOS ALBERTO COLON Psychologist, Clinical T2 CALLE 1A, REPARTO VALENCIA
BAYAMON, PR, United States
02-Jan-2014
1649819954 APS CLINICS OF PUERTO RICO, INC. Clinic/Center, Adolescent and Children Mental Health PO BOX 71474,
SAN JUAN, PR, United States
03-Jan-2020
1912064494 IBIS MORALES Pediatrics JARDINES DE BAYAMONTE, 85 CALLE GORRION
BAYAMON, PR, United States
03-Jan-2007
1942485016 EMERGENCY PRACTICE MANAGEMENT GROUP,PSC Clinic/Center, Emergency Care PO BOX 363589,
SAN JUAN, PR, United States
08-Jan-2008
1922302868 OPTICA CDTGMSP Eyewear Supplier (Equipment, not the service) B-7 SANTA CRUZ, URB SANTA CRUZ
BAYAMON, PR, United States
07-Jan-2011
1376521997 ISMAEL MERCADO General Practice PO BOX 52217,
TOA BAJA, PR, United States
04-Jan-2006
1871640862 NATALIO DEBS ELIAS Surgery, Plastic and Reconstructive Surgery 100 PASEO SAN PABLO, 508 DR. ARTURO CADILLA
BAYAMON, PR, United States
04-Jan-2007
1659428217 JOSE RICARDO LLADO-DIAZ Ophthalmology M4 CALLE CLAVEL, PARQUE DE SANTA MARIA
SAN JUAN, PR, United States
05-Jan-2007
1629215942 FARMACIA LA ECONOMIA Pharmacy URB. LOMAS VERDES, CALLE CLAVEL F-33
BAYAMON, PR, United States
08-Jan-2009
1316218985 CARMEN AGOSTO Pharmacist P.O. BOX 52,
BAYAMON, PR, United States
13-Jan-2012
1669719183 ARIELYS VAZQUEZ Social Worker CHALETS LAS CUMBRES, APT 145
BAYAMON, PR, United States
04-Jan-2013
1265898886 NICOLE ANDREA COLON SIEMER Pharmacist 25-20 CALLE 20, URBANIZACION SANTA ROSA
BAYAMON, PR, United States
12-Jan-2016
1629541404 NORA IRIS DE MARIA GUZMAN PARES Student in an Organized Health Care Education/Training Program CALLE VEREDA REAL A24, LAS VEREDAS,
BAYAMON, PR, United States
04-Jan-2019

FAQs

Whose NPI Number is 1902808108?

1902808108 is the NPI number of .

Where is located?

is located at 28 CALLE SANTA CRUZ, BAYAMON, PR.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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