Organization
ORTHO ELITE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO LOPEZ (OWNER)
(787) 664-8721
Entity
Organization
Contact information
Practice address
313 CARR 869, CATANO, PR 00962-7075
(787) 664-8721
Mailing address
VILLA BORINQUEN 31 C/LOPEZ LANDRON, SAN JUAN, PR 00921
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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