Provider Demographics
NPI:1841742913
Name:HEALTH INNOVATION SYSTEMS, LLC
Entity Type:Organization
Organization Name:HEALTH INNOVATION SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:FERNANDO
Authorized Official - Last Name:IRIZARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-331-2020
Mailing Address - Street 1:PO BOX 366279
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-6279
Mailing Address - Country:US
Mailing Address - Phone:787-331-2020
Mailing Address - Fax:
Practice Address - Street 1:2 CALLE TABONUCO
Practice Address - Street 2:GAM TOWER SUITE 203 SAN PATRICIO
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3020
Practice Address - Country:US
Practice Address - Phone:787-331-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier