Organization
RUDY ORTHOMEDIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODOLFO E GUERRA (PRESIDENT)
(786) 717-7609
Entity
Organization
Contact information
Practice address
5030 W 12TH AVE, HIALEAH, FL 33012-3116
(786) 717-7609
(305) 822-3741
Mailing address
5030 W 12TH AVE, HIALEAH, FL 33012-3116
(786) 717-7609
(305) 822-3741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/20/2015
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