Organization Active NPI

Orthopremium Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Guaynabo, PR
National Provider Identifier
1306162417
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHOPREMIUM MEDICAL EQUIPMENT
Practice address
Villa Clementina St.
B7-B
Guaynabo, PR 00969
Phone
(787) 720-4042
Fax
(787) 720-4014
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mr. Raul Sierra
Title
Owner
Phone
(787) 720-4042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

Villa Clementina St.
B7-B
Guaynabo, PR 00969

Mailing address

300 Ave la Sierra
Box 122
San Juan, PR 00926-0000
Phone (787) 720-4042

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1306162417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE LA SIERRA",
            "address_2": "BOX 122",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009260000",
            "telephone_number": "787-720-4042",
            "fax_number": "787-720-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA CLEMENTINA ST.",
            "address_2": "B7-B",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-720-4042",
            "fax_number": "787-720-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPREMIUM MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-720-4042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.