Organization
ADVANCE PROSTHETICS
Active
Organization
ADVANCE PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFEL E TORRES (PRESIDENT)
(787) 323-3435
Entity
Organization
Contact information
Practice address
200 C MARGINAL SUITE 125, CANOVANAS, PR 00729-4312
(939) 539-8513
(787) 539-8513
Mailing address
PO BOX 1702, CANOVANAS, PR 00729-1702
(939) 539-8513
(939) 539-8513
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
19141
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390147
PR STATE DEPARTMENT
PR
Enumeration date
04/28/2017
Last updated
09/25/2018
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