Organization
PURE LIFE ORTHOPEDIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RIVERA (PRESIDENT)
(787) 238-5266
Entity
Organization
Contact information
Practice address
BO ABRA HONDA, CARR 119 R488 KM 0.2, CAMUY, PR 00627
(787) 685-6340
Mailing address
HC 5 BOX 25902, CAMUY, PR 00627-9486
(787) 238-5266
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
06/24/2025
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