Organization Active NPI

Rudy Orthomedic, Corp

  • Prosthetic/Orthotic Supplier
  • Hatillo, PR
National Provider Identifier
1912036732
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
OP-7621 Issued in OH
Legal business name
RUDY ORTHOMEDIC, CORP
Practice address
125 Ave F. D. Roosevelt
Hatillo, PR 00659-1855
Phone
(787) 262-5000
Fax
(787) 262-7000
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Mr. Rodolfo E Guerra, O.P.
Title
President
Phone
(787) 262-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1912036732 PR
Prosthetic/Orthotic Supplier 335E00000X OP-7621 OH Primary

Addresses

Primary practice location

125 Ave F. D. Roosevelt
Hatillo, PR 00659-1855

Mailing address

125 Ave F. D. Roosevelt
Hatillo, PR 00659-1855
Phone (787) 262-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1912036732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 AVE F. D. ROOSEVELT",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591855",
            "telephone_number": "787-262-5000",
            "fax_number": "787-262-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AVE F. D. ROOSEVELT",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006591855",
            "telephone_number": "787-262-5000",
            "fax_number": "787-262-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDY ORTHOMEDIC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-07-10",
        "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": "787-262-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.P."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "1912036732",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "OP-7621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.