Organization Active NPI

Tahimy Ortiz Nieves Dba Special Breast Boutique

  • Prosthetic/Orthotic Supplier
  • Caguas, PR
National Provider Identifier
1982908240
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TAHIMY ORTIZ NIEVES DBA SPECIAL BREAST BOUTIQUE
Practice address
Aguas Buenas St. #19
Urb. Bonneville Heights
Caguas, PR 00727-4939
Phone
(787) 743-9977
Fax
(787) 744-8733
NPI assigned
Dec 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Tahimy Ortiz
Title
Owner
Phone
(787) 743-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

Aguas Buenas St. #19
Urb. Bonneville Heights
Caguas, PR 00727-4939

Mailing address

Aguas Buenas St. #19
Urb. Bonneville Heights
Caguas, PR 00727-4939
Phone (787) 743-9977

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1982908240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AGUAS BUENAS ST. #19",
            "address_2": "URB. BONNEVILLE HEIGHTS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007274939",
            "telephone_number": "787-743-9977",
            "fax_number": "787-744-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AGUAS BUENAS ST. #19",
            "address_2": "URB. BONNEVILLE HEIGHTS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007274939",
            "telephone_number": "787-743-9977",
            "fax_number": "787-744-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHIMY ORTIZ NIEVES DBA SPECIAL BREAST BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "TAHIMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-743-9977"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.