Organization Active NPI

Or Pro Medical Inc

  • Prosthetic/Orthotic Supplier
  • San Juan, PR
National Provider Identifier
1275528820
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
02175 Issued in DE
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930088488 PR DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company 2365569464 Practice locations: San Juan, PR

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Or Pro Medical Industrial Laborator1630 Ave Jesus T Pinero, San Juan, PR 00921-1423(787) 783-8558 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 assignmentParticipating since Jan 1, 2005

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.