MEDICAL PROSTHETIC – NPI #1205019965
Clinic/Center

An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs.

Health Care Provider Taxonomy Code for Clinic/Center

MEDICAL PROSTHETIC is an AHC clinic located in TOA ALTA, PR. NPPES has assigned the NPI number 1205019965 to MEDICAL PROSTHETIC on December 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0900X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Amputee

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL PROSTHETIC below.

NPI Profile for
MEDICAL PROSTHETIC

NPI Number
1205019965
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL PROSTHETIC
Primary location
EBANO 74 MONTECASINO
TOA ALTA, PR 00953
Phone: (787) 359-4770 Fax: (787) 359-4770
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LUIS PONTON
CEO
Phone: (787) 359-4770
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0900X
- Clinic/Center / Amputee (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.