Organization Active NPI

Bard Shannon Limited

  • Prosthetic/Orthotic Supplier
  • Guaynabo, PR
National Provider Identifier
1609177146
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
BARD SHANNON LIMITED
Practice address
17 Calle 2 Ste 620
Metro Office Park
Guaynabo, PR 00968-1787
Phone
(787) 238-1017
Fax
(787) 804-1533
NPI assigned
Nov 16, 2010
Last updated
May 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Authorized official

Name
Mike K Flores
Title
Sales Manager
Phone
(787) 238-1017

Specialties & licenses 1

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

Addresses

Primary practice location

17 Calle 2 Ste 620
Metro Office Park
Guaynabo, PR 00968-1787

Mailing address

17 Calle 2 Ste 620
Metro Office Park
Guaynabo, PR 00968-1787
Phone (787) 238-1017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1609177146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CALLE 2 STE 620",
            "address_2": "METRO OFFICE PARK",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681787",
            "telephone_number": "787-238-1017",
            "fax_number": "787-804-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CALLE 2 STE 620",
            "address_2": "METRO OFFICE PARK",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681787",
            "telephone_number": "787-238-1017",
            "fax_number": "787-804-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARD SHANNON LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SALES MANAGER",
        "authorized_official_telephone_number": "787-238-1017"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.