# ORTHOPEDIC AND SPINE CENTER OF PUERTO RICO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Orthopedic and Spine Center of Puerto Rico
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285497339
- **Authorized official:** DANNY MANGUAL PEREZ MD (DIRECTOR)
- **Authorized official phone:** (787) 340-0913

## Contact information

- **Practice address:** HOSPITAL DAMAS, 2225 PONCE BYPASS PARRA MEDICAL PLAZA SUITE 1003-1004, PONCE, PR 00717-1313
- **Practice address phone:** (787) 492-0014
- **Mailing address:** 2225 PONCE BY PASS, PARRA MEDICAL PLAZA 1003 1004, PONCE, PR 00717
- **Mailing address phone:** (787) 492-0014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | NULL | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 02/21/2025