Provider Demographics
NPI:1093382996
Name:EMD ORTHO & MEDICAL, LLC
Entity Type:Organization
Organization Name:EMD ORTHO & MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANNOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:939-333-0145
Mailing Address - Street 1:PO BOX 3529
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-3529
Mailing Address - Country:US
Mailing Address - Phone:939-333-0145
Mailing Address - Fax:
Practice Address - Street 1:14 CALLE GUAYABO
Practice Address - Street 2:FINCA ELENA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971
Practice Address - Country:US
Practice Address - Phone:939-333-0145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR117200959OtherDUNS