Healthcare Provider Details

I. General information

NPI: 1306892336
Provider Name (Legal Business Name): RENO ORTHOPEDIC APPLIANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 VASSAR ST
RENO NV
89502-2910
US

IV. Provider business mailing address

314 VASSAR ST
RENO NV
89502-2910
US

V. Phone/Fax

Practice location:
  • Phone: 775-322-9299
  • Fax: 775-322-1672
Mailing address:
  • Phone: 775-322-9299
  • Fax: 775-322-1672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number335E00000X
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number332B00000X
License Number StateNV

VIII. Authorized Official

Name: MR. TONY J CRUZ
Title or Position: PRESIDENT
Credential: CPO
Phone: 775-322-9299