Organization Active NPI

First Choice Prosthetic & Otrhopedic Service Inc

  • Customized Equipment (DME)
  • Ponce, PR
National Provider Identifier
1609802834
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
FIRST CHOICE PROSTHETIC & OTRHOPEDIC SERVICE INC
Practice address
Saint Luke'S Mem Hospital II Lobby C Suite 3
14 Road
Ponce, PR 00731
Phone
(787) 284-6184
Fax
(787) 812-1868
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Mr. Mario Garcia
Title
Administrator
Phone
(787) 437-1601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

Saint Luke'S Mem Hospital II Lobby C Suite 3
14 Road
Ponce, PR 00731

Mailing address

PO Box 800942
Coto Laurel, PR 00780-0942
Phone (787) 284-6184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930079182 PR DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 8729290655 Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

909 Ave Tito Castro
Ste 714
Ponce, PR 00716
Phone (787) 437-1602

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1609802834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800942",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800942",
            "telephone_number": "787-284-6184",
            "fax_number": "787-812-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT LUKE'S MEM HOSPITAL II LOBBY C SUITE 3",
            "address_2": "14 ROAD",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-284-6184",
            "fax_number": "787-812-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PROSTHETIC & OTRHOPEDIC SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-437-1601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "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 Jul 10, 2023; 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.