Provider Demographics
NPI:1225468465
Name:UNLIMITED MEDICAL ORTHOPEDIC IMPLANTS
Entity Type:Organization
Organization Name:UNLIMITED MEDICAL ORTHOPEDIC IMPLANTS
Other - Org Name:UNLIMITED MEDICAL ORTHOPEDIC IMPLANTS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:AUGUSTO
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:SR
Authorized Official - Credentials:RT
Authorized Official - Phone:787-376-7958
Mailing Address - Street 1:CALLE 8 D45
Mailing Address - Street 2:URB ALTOS DE LA FUENTE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-376-7958
Mailing Address - Fax:
Practice Address - Street 1:CALLE 8 D45
Practice Address - Street 2:URB ALTOS DE LA FUENTE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-376-7958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNLIMITED MEDICAL ORTHOPEDIC IMPLANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier