Organization
ORTHOPREMIUM MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL SIERRA (OWNER)
(787) 720-4042
Entity
Organization
Contact information
Practice address
VILLA CLEMENTINA ST., B7-B, GUAYNABO, PR 00969
(787) 720-4042
(787) 720-4014
Mailing address
300 AVE LA SIERRA, BOX 122, SAN JUAN, PR 00926-0000
(787) 720-4042
(787) 720-4014
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/14/2010
Last updated
08/18/2011
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