Organization
INNOVASIVE MEDICAL INC
Active
Organization
INNOVASIVE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY RODRIGUEZ (PRESIDENT)
(787) 414-7607
Entity
Organization
Contact information
Practice address
ESTANCIAS DEL BLVD, 7000 CARR. 844, APT. 6A6, SAN JUAN, PR 00926-9570
(787) 414-7607
(188) 887-1961
Mailing address
PO BOX 367968, SAN JUAN, PR 00936-7968
(787) 414-7607
(188) 887-1961
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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