Organization Active NPI

Rudy Orthomedic Corp

  • Prosthetic/Orthotic Supplier
  • Hialeah, FL
National Provider Identifier
1619348497
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Oct 20, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.