Organization Active NPI

MG Orthotics and Prosthetics Corp

  • Prosthetic/Orthotic Supplier
  • Ponce, PR
National Provider Identifier
1528201175
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MG ORTHOTICS AND PROSTHETICS CORP
Practice address
8155 Calle Concordia
Suite 102
Ponce, PR 00717-1599
Phone
(787) 812-7722
Fax
(787) 812-7722
NPI assigned
Apr 13, 2009
Last updated
Oct 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Mr. Miguel A Gomez
Title
President
Phone
(787) 812-7722

Specialties & licenses 2

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

Addresses

Primary practice location

8155 Calle Concordia
Suite 102
Ponce, PR 00717-1599

Mailing address

530 Mansiones de Coamo
Coamo, PR 00769
Phone (787) 812-7722

National Provider Directory

National Provider Directory

Locations

8155 Calle Concordia
Ste 102
Ponce, PR 00717
Phone (787) 812-7722

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1528201175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MANSIONES DE COAMO",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "00769",
            "telephone_number": "787-812-7722",
            "fax_number": "787-812-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 CALLE CONCORDIA",
            "address_2": "SUITE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171599",
            "telephone_number": "787-812-7722",
            "fax_number": "787-812-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG ORTHOTICS AND PROSTHETICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-812-7722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.