Healthcare Provider Details
I. General information
NPI: 1568415834
Provider Name (Legal Business Name): RMC ORTHOPEDIC & SURGICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
74 AVE LOPATEGUI STE. 204
GUAYNABO PR
00969-3845
US
IV. Provider business mailing address
74 AVE LOPATEGUI STE. 204
GUAYNABO PR
00969-3845
US
V. Phone/Fax
- Phone: 787-731-0077
- Fax: 787-731-0077
- Phone: 787-731-0077
- Fax: 787-731-0077
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
NELSON
A.
RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-501-1437