Organization Active NPI

Home Orthopedics Corp

  • Prosthetic/Orthotic Supplier
  • San Juan, PR
National Provider Identifier
1578560447
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HOME ORTHOPEDICS CORP
Practice address
202 Calle Federico Costa
Urb Tres Monjitas
San Juan, PR 00918-1321
Phone
(787) 763-1002
Fax
(787) 763-1004
NPI assigned
Jul 6, 2005
Last updated
Jan 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Authorized official

Name
Jesus G Rodriguez, CPO
Title
President
Phone
(787) 763-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

202 Calle Federico Costa
Urb Tres Monjitas
San Juan, PR 00918-1321

Mailing address

202 Calle Federico Costa
Urb Tres Monjitas
San Juan, PR 00918-1321
Phone (787) 763-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930025914 PR DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Pedorthic Personnel 4981721701 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1578560447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CALLE FEDERICO COSTA",
            "address_2": "URB TRES MONJITAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181321",
            "telephone_number": "787-763-1002",
            "fax_number": "787-763-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CALLE FEDERICO COSTA",
            "address_2": "URB TRES MONJITAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181321",
            "telephone_number": "787-763-1002",
            "fax_number": "787-763-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME ORTHOPEDICS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-763-1002",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.