| Organization Name: | MEDICAL PROSTHETIC |
| NPI Number: | 1205019965 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS DANIEL PONTON (CEO) |
| Mailing Address: | Ebano 74 Montecasino Toa Alta |
| State: | PR US |
| Postal Code: | 00953 |
| Phone Number: | 7873594770 |
| Fax Number: | 7873594770 |
| NPI Enumeration Date: | 12/17/2007 |
| NPI Last Update Date: | 12/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Amputee |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing counseling, fitting, custom design, prescriptive, and training services related to congenital or postoperative absence of all or part of a limb or limbs. |