Healthcare Provider Details

I. General information

NPI: 1437001591
Provider Name (Legal Business Name): RTP ORTHOPEDICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CALLE HERNANDEZ CARRION STE 102
MANATI PR
00674-4652
US

IV. Provider business mailing address

576 AVE ARTERIAL B APT 2301
SAN JUAN PR
00918-2235
US

V. Phone/Fax

Practice location:
  • Phone: 787-921-2050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: RUBEN TRESGALLO PARES
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 787-408-1288