Medical Prosthetic

Primary specialty

Amputee Clinic/CenterTaxonomy code 261QA0900X

Legal business name

MEDICAL PROSTHETIC

Practice address

Ebano 74 Montecasino
Toa Alta, PR 00953

Phone

(787) 359-4770

Fax

(787) 359-4770

NPI assigned

Dec 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Luis Daniel Ponton, COF

Title

Ceo

Phone

(787) 359-4770

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1205019965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EBANO 74 MONTECASINO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-359-4770",
            "fax_number": "787-359-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EBANO 74 MONTECASINO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953",
            "telephone_number": "787-359-4770",
            "fax_number": "787-359-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PROSTHETIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "PONTON",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-359-4770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COF"
    },
    "taxonomies": [
        {
            "code": "261QA0900X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Amputee",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizmarie Matos, MSW
• Mylthia P Matos, OD
• MD Premier Health LLC
• Medical Emergency Group JRJ, C.S.P.
• Medical Express Logistics LLC
• Medina 'S Nurse & Care LLC
• Kevin Medina Cruz
• Dulzaida Medina, RN BSN CDE
• Elsie Medina, P.T.
• Ivan J Medina

• Clinic/Center in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.