Provider Demographics
NPI:1033248166
Name:BIOTRONIC INTERNATIONAL LLC
Entity Type:Organization
Organization Name:BIOTRONIC INTERNATIONAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:J. IVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-764-4735
Mailing Address - Street 1:867 AVE MUNOZ RIVERA
Mailing Address - Street 2:VICK CENTER SUITE D-203
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00925-2102
Mailing Address - Country:US
Mailing Address - Phone:787-751-6256
Mailing Address - Fax:787-759-2999
Practice Address - Street 1:867 AVE MUNOZ RIVERA
Practice Address - Street 2:VICK CENTER SUITE D-203
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00925-2102
Practice Address - Country:US
Practice Address - Phone:787-764-4735
Practice Address - Fax:787-759-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty