Provider Demographics
NPI:1912654815
Name:PR JOINTS & ROBOTICS CENTER LLC
Entity Type:Organization
Organization Name:PR JOINTS & ROBOTICS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-798-0670
Mailing Address - Street 1:191 CALLE CESAR GONZALEZ APT 1204
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1430
Mailing Address - Country:US
Mailing Address - Phone:787-798-0670
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL SAN FRANCISCO
Practice Address - Street 2:TORRE MEDICA OFICINA 209 371 DE DIEGO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923
Practice Address - Country:US
Practice Address - Phone:787-767-5100
Practice Address - Fax:787-250-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty