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NPI 1114256815

NPI 1114256815 : ORTHO & SURGICAL SOLUTIONS, INC : GUAYNABO, PR

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General NPI Number Information
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    NPI Number           |    1114256815
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORTHO & SURGICAL SOLUTIONS, INC 
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Dates
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    Enumeration Date     |    12/09/2009
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    Last Update Date     |    12/09/2009
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Provider Practice Location Address
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    Address Line         |    AMELIA IND PARK #43 DIANA STREET SUITE 3
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    City                 |    GUAYNABO
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    State                |    PR
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    Zip                  |    00968-8043
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    Country              |    US
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    Telephone            |    787-782-6888
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 11923 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00922-1923
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    Country              |    US
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    Telephone            |    787-782-6888
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    Fax                  |    787-781-3405
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ISANDER  NIEVES 
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    Credential           |    
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    Telephone            |    787-782-6888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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