Active NPI
Or Pro Medical Inc
- Prosthetic/Orthotic Supplier
- San Juan, PR
National Provider Identifier
1275528820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 02175
- Legal business name
- OR PRO MEDICAL INC
- Practice address
- 1630 Ave J T Pinero
San Juan, PR 00921-1423 - Phone
- (787) 783-8558
- Fax
- (787) 783-5653
- NPI assigned
- Sep 20, 2005
- Last updated
- Nov 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Benigno Garcia, CPO
- Title
- President
- Phone
- (787) 783-8558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 02175 | DE | Primary |
Addresses
Primary practice location
1630 Ave J T Pinero
San Juan, PR 00921-1423
Mailing address
1630 Ave J T Pinero
San Juan, PR 00921-1423
Phone (787) 783-8558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930088488 | PR | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 2365569464 | Practice locations: San Juan, PR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Or Pro Medical Industrial Laborator | Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1630 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 783-8558
1634 Ave Jesus T Pinero
San Juan, PR 00921
Phone (787) 783-8558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1275528820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 AVE J T PINERO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009211423",
"telephone_number": "787-783-8558",
"fax_number": "787-783-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 AVE J T PINERO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009211423",
"telephone_number": "787-783-8558",
"fax_number": "787-783-5653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OR PRO MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "BENIGNO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-783-8558",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "DE",
"license": "02175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.