Provider Demographics
NPI:1558469403
Name:SMITH & NEPHEW INC.
Entity Type:Organization
Organization Name:SMITH & NEPHEW INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAZZOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-764-5115
Mailing Address - Street 1:PO BOX 191952
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-1952
Mailing Address - Country:US
Mailing Address - Phone:787-764-5115
Mailing Address - Fax:787-764-6688
Practice Address - Street 1:361 CALLE ANGEL BUONOMO
Practice Address - Street 2:CESAR CASTILLO BUILDING
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1308
Practice Address - Country:US
Practice Address - Phone:787-764-5115
Practice Address - Fax:787-764-6688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR60232OtherNUMERO PROVEEDOR TRIPLE S