Provider Demographics
NPI:1932240702
Name:MEDTRONIC PUERTO RICO OPERATIONS
Entity Type:Organization
Organization Name:MEDTRONIC PUERTO RICO OPERATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-753-5270
Mailing Address - Street 1:PO BOX 363829
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3829
Mailing Address - Country:US
Mailing Address - Phone:787-753-5270
Mailing Address - Fax:787-753-2644
Practice Address - Street 1:B7 CALLE TABONUCO
Practice Address - Street 2:SANTANDER TOWER SUITE 1501
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3028
Practice Address - Country:US
Practice Address - Phone:787-753-5270
Practice Address - Fax:787-753-2644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies