PR Medical Orthotics Service Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PR MEDICAL ORTHOTICS SERVICE CORP.

Practice address

Calle 15 T34 Flamboyan Gardens
Bayamon, PR 00959-0000

Phone

(787) 294-5950

Fax

(787) 251-8818

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jose Bernabe Berdecia

Title

President

Phone

(787) 294-5950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1437469707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 56223",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600000",
            "telephone_number": "787-294-5950",
            "fax_number": "787-251-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 15 T34 FLAMBOYAN GARDENS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590000",
            "telephone_number": "787-294-5950",
            "fax_number": "787-251-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR MEDICAL ORTHOTICS SERVICE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "BERDECIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "BERNABE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-294-5950",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PPL Medical CSP
• PPL Medical CSP
• PR Fast Ambulance LLC
• PR Hand Ortho LLC
• PR Imaging LLC
• PR Medical Service LLC
• PR Wound Care & Primary Medicine Center LLC
• Pradise Audiology & Balance Center LLC
• Precise Radiation Oncology Center PSC
• Precise Radiosurgery Solutions PSC

• All providers in Bayamon, PR
• Durable Medical Equipment & Medical Supplies in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.