Organization Active NPI

Rudy Orthomedic, Corp

  • Prosthetic/Orthotic Supplier
  • Arecibo, PR
National Provider Identifier
1467760819
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
OP-7621 Issued in OH
Legal business name
RUDY ORTHOMEDIC, CORP
Doing business as
RUDY ORTHOMEDIC, CORP
Practice address
217 Ave Jose de Diego
Arecibo, PR 00612-4547
Phone
(787) 880-6000
Fax
(787) 880-2221
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Rodolfo Enrique Guerra, OP
Title
President
Phone
(787) 880-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X
Durable Medical Equipment & Medical Supplies 332B00000X 1912036732 PR
Prosthetic/Orthotic Supplier 335E00000X OP-7621 OH Primary

Addresses

Primary practice location

217 Ave Jose de Diego
Arecibo, PR 00612-4547

Mailing address

Ave Jose de Diego # 206
Arecibo, PR 00612-4547
Phone (787) 880-6000

Other names 1

  • RUDY ORTHOMEDIC, CORP Doing business as

National Provider Directory

National Provider Directory

Locations

125 Ave Fd Roosevelt
Hatillo, PR 00659
Phone (787) 262-6000

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1467760819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE JOSE DE DIEGO # 206",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124547",
            "telephone_number": "787-880-6000",
            "fax_number": "787-880-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 AVE JOSE DE DIEGO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124547",
            "telephone_number": "787-880-6000",
            "fax_number": "787-880-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDY ORTHOMEDIC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "GUERRA",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-880-6000",
        "authorized_official_credential": "OP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "1912036732",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "OP-7621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUDY ORTHOMEDIC, CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arecibo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.