Healthcare Provider Details

I. General information

NPI: 1073672697
Provider Name (Legal Business Name): GUIDANT PR SALES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 CHARDON AVE SUITE 1001 CHARDON BUILDING
SAN JUAN PR
00918
US

IV. Provider business mailing address

350 CHARDON AVE SUITE 1001 CHARDON BUILDING
SAN JUAN PR
00918
US

V. Phone/Fax

Practice location:
  • Phone: 787-474-0362
  • Fax: 787-620-0704
Mailing address:
  • Phone: 787-474-0362
  • Fax: 787-620-0704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MIGUEL ERNESTO GIROD
Title or Position: REGIONAL SALES MANAGER
Credential:
Phone: 787-626-1750