Provider Demographics
NPI:1942611900
Name:CENTRO ORTOPEDICO ESPECIALIZADO
Entity type:Organization
Organization Name:CENTRO ORTOPEDICO ESPECIALIZADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:GILBERTO
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALVARADO DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-844-8000
Mailing Address - Street 1:PO BOX 8726
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-8726
Mailing Address - Country:US
Mailing Address - Phone:787-844-8000
Mailing Address - Fax:
Practice Address - Street 1:2360 AVE EDUARDO RUBERTE
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0304
Practice Address - Country:US
Practice Address - Phone:787-844-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16456207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty