Provider Demographics
NPI:1427352228
Name:ORTHOSTAT CARIBBEAN CORP
Entity type:Organization
Organization Name:ORTHOSTAT CARIBBEAN CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-689-7556
Mailing Address - Street 1:P O BOX 11017
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-1017
Mailing Address - Country:US
Mailing Address - Phone:787-689-7556
Mailing Address - Fax:787-294-9344
Practice Address - Street 1:AVENIDA BOULEVARD
Practice Address - Street 2:3217 SUITE D
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-2707
Practice Address - Country:US
Practice Address - Phone:787-603-4442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies