Advance Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

19141 Issued in PR

Legal business name

ADVANCE PROSTHETICS

Practice address

200 C Marginal Suite 125
Canovanas, PR 00729-4312

Phone

(939) 539-8513

Fax

(787) 539-8513

NPI assigned

Apr 28, 2017

Last updated

Sep 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafel E Torres

Title

President

Phone

(787) 323-3435

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1306371240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1702",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007291702",
            "telephone_number": "939-539-8513",
            "fax_number": "939-539-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 C MARGINAL SUITE 125",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007294312",
            "telephone_number": "939-539-8513",
            "fax_number": "787-539-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "RAFEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-323-3435"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PR",
            "license": "19141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR STATE DEPARTMENT",
            "identifier": "390147",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Prosthetic/Orthotic Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.