Healthcare Provider Details

I. General information

NPI: 1932346665
Provider Name (Legal Business Name): BEST PROSTHETICS SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 01/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 3 S3 #13 VILLAS DE PARANA
SAN JUAN PR
00720
US

IV. Provider business mailing address

CALLE 3 S3 #13 VILLAS DE PARANA
SAN JUAN PR
00720
US

V. Phone/Fax

Practice location:
  • Phone: 787-603-4442
  • Fax:
Mailing address:
  • Phone: 787-603-4442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License NumberC36369
License Number StatePR

VIII. Authorized Official

Name: DR. LUIS NARCISO OLMEDO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-603-4442