Provider Demographics
NPI:1841445343
Name:NUVASIVE PR, INC.
Entity type:Organization
Organization Name:NUVASIVE PR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-909-1865
Mailing Address - Street 1:7475 LUSK BLVD
Mailing Address - Street 2:C/O NUVASIVE INC.
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-5707
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1629 AVE PONCE DE LEON
Practice Address - Street 2:SUITE E
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-2714
Practice Address - Country:US
Practice Address - Phone:787-474-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NUVASIVE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies