Organization
ELIEL ORTHO MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN NOEMI DIANA (PRESIDENT)
(787) 754-2926
Entity
Organization
Contact information
Practice address
JESUS T PINIERO AVE 256B, UNIVERSITY GARDENS, SAN JUAN, PR 00927
(787) 754-2926
(787) 754-4259
Mailing address
JESUS T PINIERO AVE 256B, UNIVERSITY GARDENS, SAN JUAN, PR 00927
(787) 754-2926
(787) 754-4259
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
990436
PMC
PR
01
—
999723
MMM
PR
01
—
G1261
TRIPLE S INC
PR
Enumeration date
05/08/2007
Last updated
08/22/2020
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