Provider Demographics
NPI:1932979283
Name:ORTHOCARE LLC
Entity type:Organization
Organization Name:ORTHOCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AYLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LLERENA GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-903-7470
Mailing Address - Street 1:161 AVE PONCE DE LEON STE 303
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-1254
Mailing Address - Country:US
Mailing Address - Phone:787-903-7470
Mailing Address - Fax:787-474-5215
Practice Address - Street 1:161 AVE PONCE DE LEON STE 303
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-1254
Practice Address - Country:US
Practice Address - Phone:787-903-7470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-08
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier