Active NPI
First Choice Prosthetic & Otrhopedic Service Inc
- Customized Equipment (DME)
- Ponce, PR
National Provider Identifier
1609802834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930079182 | PR | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 8729290655 | Practice locations: Ponce, PR |
National Provider Directory
National Provider DirectoryLocations
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.