Organization
BIOTECH MEDCORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE RAUL ORTIZ (OWNER)
(787) 608-8245
Entity
Organization
Contact information
Practice address
A-28 ALTOS CALLE 12, REPTO UNIVERSIDAD, SAN GERMAN, PR 00683
(787) 608-8245
Mailing address
PO BOX 497, SAN GERMAN, PR 00683-0497
(787) 608-8245
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57591
SSS PROVIDER NUMBER
PR
Enumeration date
06/21/2006
Last updated
08/05/2008
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