Innovasive Medical Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

INNOVASIVE MEDICAL INC

Practice address

Estancias del Blvd
7000 Carr. 844, Apt. 6A6
San Juan, PR 00926-9570

Phone

(787) 414-7607

Fax

(188) 887-1961

NPI assigned

Sep 30, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Henry Rodriguez

Title

President

Phone

(787) 414-7607

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1629471933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367968",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367968",
            "telephone_number": "787-414-7607",
            "fax_number": "188-887-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DEL BLVD",
            "address_2": "7000 CARR. 844, APT. 6A6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269570",
            "telephone_number": "787-414-7607",
            "fax_number": "188-887-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVASIVE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-414-7607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in San Juan, PR
• Providers in San Juan, PR by specialty
• Prosthetic/Orthotic Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.