Organization
RUDY ORTHOMEDIC, CORP
Active
Organization
RUDY ORTHOMEDIC, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODOLFO E GUERRA O.P. (PRESIDENT)
(787) 262-5000
Entity
Organization
Contact information
Practice address
125 AVE F. D. ROOSEVELT, HATILLO, PR 00659-1855
(787) 262-5000
(787) 262-7000
Mailing address
125 AVE F. D. ROOSEVELT, HATILLO, PR 00659-1855
(787) 262-5000
(787) 262-7000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1912036732
PR
335E00000X
Prosthetic/Orthotic Supplier
Primary
OP-7621
OH
Other
Enumeration date
03/05/2007
Last updated
07/10/2013
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