Provider Demographics
NPI:1659758407
Name:ORTHONIC SOLUTIONS
Entity Type:Organization
Organization Name:ORTHONIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-854-9884
Mailing Address - Street 1:PO BOX 30400
Mailing Address - Street 2:PMB 203
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-8514
Mailing Address - Country:US
Mailing Address - Phone:787-854-9884
Mailing Address - Fax:
Practice Address - Street 1:148 BDA FELIX CORDOVA DAVILA PLAZA KAROMA STE 9
Practice Address - Street 2:CARR 670 INT. 668
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-9884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies