Provider Demographics
NPI:1437456415
Name:NOVIS PR, INC.
Entity Type:Organization
Organization Name:NOVIS PR, INC.
Other - Org Name:KRAMER NOVIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BRAND MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURIZIO
Authorized Official - Middle Name:M
Authorized Official - Last Name:BERNALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-767-2072
Mailing Address - Street 1:320 AVE BARBOSA
Mailing Address - Street 2:
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00917-4315
Mailing Address - Country:US
Mailing Address - Phone:787-767-2072
Mailing Address - Fax:787-767-7281
Practice Address - Street 1:320 AVE BARBOSA
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-4315
Practice Address - Country:US
Practice Address - Phone:787-767-2072
Practice Address - Fax:787-767-7281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11D0574332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition