MEDICARE: ACE MOVIMIENTO INC ORTHOTIC PROSTHETIC LABORATORIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1558364943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE MOVIMIENTO INC ORTHOTIC PROSTHETIC LABORATORIES

Provider Business Mailing Address
First Line	:	IA3 AVE LOMAS VERDES
Second Line	:	ROYAL PALM
City	:	BAYAMON
State	:	PR
Zip	:	00956-3133
Country	:	US
Telephone Number	:	787-288-0255
Fax Number	:	787-288-0800

Provider Business Practice Location Address
First Line	:	IA3 AVE LOMAS VERDES
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00956-3133
Country	:	US
Telephone Number	:	787-288-0255
Fax Number	:	787-288-0800

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOHN E LINK
Credential	:	BOCO, CO
Telephone Number	:	787-288-0255

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/08/2011

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