Organization
RUDY ORTHOMEDIC, CORP
Active
Organization
RUDY ORTHOMEDIC, CORP
Active
Other names
RUDY FARMACIA
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO ENRIQUE GUERRA O.P (PRESIDENT)
(787) 880-6000
Entity
Organization
Contact information
Practice address
217 AVE JOSE DE DIEGO, ARECIBO, PR 00612-4547
(787) 880-6000
(787) 880-2221
Mailing address
217 AVE JOSE DE DIEGO, ARECIBO, PR 00612-4547
(787) 880-6000
(787) 880-2221
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
1912036732
PR
335E00000X
Prosthetic/Orthotic Supplier
Primary
OP-7621
OH
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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