Active NPI
Rudy Orthomedic, Corp
- Prosthetic/Orthotic Supplier
- Hatillo, PR
National Provider Identifier
1912036732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- OP-7621
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.