Provider Demographics
NPI:1487057766
Name:BONE FIX INNOVATION INC
Entity type:Organization
Organization Name:BONE FIX INNOVATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:NENADICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-705-3001
Mailing Address - Street 1:PO BOX 9010
Mailing Address - Street 2:PLAZA CAROLINA STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-0010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:787-705-3002
Practice Address - Street 1:#2C TABONUCO
Practice Address - Street 2:GAM TOWER
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-705-3001
Practice Address - Fax:787-705-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-01
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies