RUDY ORTHOMEDIC CORP NPI 1619348497

NPI Information

  • NPI: 1619348497
  • Provider Name: RUDY ORTHOMEDIC CORP
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 5030 W 12TH AVE
    HIALEAH, FL
    ZIP 33012
  • Phone: (786) 717-7609

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NPI Details

RUDY ORTHOMEDIC CORP is a prosthetic orthotic supplier in Hialeah, FL. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. RUDY ORTHOMEDIC CORP NPI is 1619348497. The provider is registered as an organization entity type.

The provider's business location address is:

5030 W 12TH AVE
HIALEAH, FL
ZIP 33012-116
Phone: (786) 717-7609
Fax: (305) 822-3741

The provider's authorized official is Rodolfo E Guerra .
The authorized official title is President and has the following contact phone number (786) 717-7609.

The enumeration date for this NPI number is 10/19/2015 and was last updated on 10/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

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This page was last updated on: 3/30/2025

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