Provider Demographics
NPI:1902223597
Name:ORTHO GRAFT CORP
Entity Type:Organization
Organization Name:ORTHO GRAFT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-981-1815
Mailing Address - Street 1:37 CALLE VENUS
Mailing Address - Street 2:EL VERDE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-6339
Mailing Address - Country:US
Mailing Address - Phone:787-981-1885
Mailing Address - Fax:866-766-6323
Practice Address - Street 1:37 CALLE VENUS
Practice Address - Street 2:EL VERDE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6339
Practice Address - Country:US
Practice Address - Phone:787-981-1885
Practice Address - Fax:866-766-6323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies