# RUDY G ORTHOPEDICS, CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336278076
- **Authorized official:** MRS. DAISY MAGDALENA LOPEZ-GUERRA O.P. (PRESIDENT)
- **Authorized official phone:** (305) 828-8911

## Contact information

- **Practice address:** 4994 W 12TH AVE, HIALEAH, FL 33012-3115
- **Practice address phone:** (305) 828-8911
- **Practice address fax:** (305) 828-1224
- **Mailing address:** 4994 W 12TH AVE, HIALEAH, FL 33012-3115
- **Mailing address phone:** (305) 828-8911
- **Mailing address fax:** (305) 828-1224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | O.P. OF144 | FL | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020