Organization
MG ORTHOTICS AND PROSTHETICS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL A GOMEZ (PRESIDENT)
(787) 812-7722
Entity
Organization
Contact information
Practice address
8155 CALLE CONCORDIA, SUITE 102, PONCE, PR 00717-1599
(787) 812-7722
(787) 812-7722
Mailing address
530 MANSIONES DE COAMO, COAMO, PR 00769
(787) 812-7722
(787) 812-7722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/13/2009
Last updated
10/03/2014
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