Active NPI
Bard Shannon Limited
- Prosthetic/Orthotic Supplier
- Guaynabo, PR
National Provider Identifier
1609177146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.