Organization
ORTHOCARIBBEAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VAN ALLEN (OFFICE MANAGER)
(340) 692-5000
Entity
Organization
Contact information
Practice address
4201 ESTATE RUBY, SUITE 1, CHRISTIANSTED, VI 00820
(340) 692-5000
(340) 692-5002
Mailing address
PO BOX 1095, CHRISTIANSTED, VI 00821-1095
(340) 692-5000
(340) 692-5002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
653
VI
207XS0117X
Orthopaedic Surgery of the Spine Physician
1499
VI
207XX0801X
Orthopaedic Trauma Physician
—
—
335E00000X
Prosthetic/Orthotic Supplier
1499
VI
335E00000X
Prosthetic/Orthotic Supplier
653
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914195
—
VI
Enumeration date
09/12/2011
Last updated
06/06/2012
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