MEDICARE: ORTHO MEDIC INC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1770586992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHO MEDIC INC

Provider Business Mailing Address
First Line	:	1432 AVE MUNOZ RIVERA
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00717-0202
Country	:	US
Telephone Number	:	787-843-0648
Fax Number	:	787-844-0085

Provider Business Practice Location Address
First Line	:	1432 AVE MUNOZ RIVERA
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00717-0202
Country	:	US
Telephone Number	:	787-843-0648
Fax Number	:	787-844-0085

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. MARGIE BEZARES
Credential	:
Telephone Number	:	787-843-0648

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/22/2020

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Directions to “ORTHO MEDIC INC ” Practice Location

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