Provider Demographics
NPI:1215363569
Name:CORE ORTHO INC.
Entity type:Organization
Organization Name:CORE ORTHO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:GUILLERMO
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-455-4289
Mailing Address - Street 1:5Z4 PARQUE DE LAS FLORES
Mailing Address - Street 2:VILLA FONTANA PARK
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-4537
Mailing Address - Country:US
Mailing Address - Phone:787-455-4289
Mailing Address - Fax:787-545-6081
Practice Address - Street 1:5Z4 PARQUE DE LAS FLORES
Practice Address - Street 2:VILLA FONTANA PARK
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-4537
Practice Address - Country:US
Practice Address - Phone:787-455-4289
Practice Address - Fax:787-545-6081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies