Provider Demographics
NPI:1922144831
Name:ORTHO-MEDIC INC.
Entity Type:Organization
Organization Name:ORTHO-MEDIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-843-0648
Mailing Address - Street 1:URB.SANTA MARIA MUNOZ RIVERA
Mailing Address - Street 2:1432
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-0202
Mailing Address - Country:US
Mailing Address - Phone:787-842-0648
Mailing Address - Fax:787-844-0085
Practice Address - Street 1:URB.SANTA MARIA
Practice Address - Street 2:MUNOZ RIVERA 1432
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0202
Practice Address - Country:US
Practice Address - Phone:787-842-0648
Practice Address - Fax:787-844-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies