Provider Demographics
NPI:1417050519
Name:ORTHOPAEDIXSPSC
Entity Type:Organization
Organization Name:ORTHOPAEDIXSPSC
Other - Org Name:OTHOPAEDIXSPSC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:I
Authorized Official - Last Name:CARRION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1787-854-4040
Mailing Address - Street 1:PO BOX 787
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0787
Mailing Address - Country:US
Mailing Address - Phone:787-854-4040
Mailing Address - Fax:787-854-4770
Practice Address - Street 1:PLAZAPUERTA DEL SOL NUM 54
Practice Address - Street 2:LOCAL 14
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-4040
Practice Address - Fax:787-854-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty