Active NPI
Rudy Orthomedic Corp
- Prosthetic/Orthotic Supplier
- Hialeah, FL
National Provider Identifier
1619348497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- RUDY ORTHOMEDIC CORP
- Practice address
- 5030 W 12TH Ave
Hialeah, FL 33012-3116 - Phone
- (786) 717-7609
- Fax
- (305) 822-3741
- NPI assigned
- Oct 19, 2015
- 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. Rodolfo E Guerra
- Title
- President
- Phone
- (786) 717-7609
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
5030 W 12TH Ave
Hialeah, FL 33012-3116
Mailing address
5030 W 12TH Ave
Hialeah, FL 33012-3116
Phone (786) 717-7609
National Provider Directory
National Provider DirectoryLocations
5030 W 12th Ave
Hialeah, FL 33012
Phone (786) 717-7609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445299200000",
"number": "1619348497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 W 12TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123116",
"telephone_number": "786-717-7609",
"fax_number": "305-822-3741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 W 12TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123116",
"telephone_number": "786-717-7609",
"fax_number": "305-822-3741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUDY ORTHOMEDIC CORP",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-20",
"status": "A",
"authorized_official_last_name": "GUERRA",
"authorized_official_first_name": "RODOLFO",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-717-7609",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.