Provider Demographics
NPI:1144371121
Name:ORIONMED
Entity type:Organization
Organization Name:ORIONMED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:FERNANDEZ-SOLTERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-843-3971
Mailing Address - Street 1:PO BOX 800809
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0809
Mailing Address - Country:US
Mailing Address - Phone:787-843-3971
Mailing Address - Fax:787-842-5841
Practice Address - Street 1:TORRE SAN CRISTOBAL
Practice Address - Street 2:SUITE 201
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:787-843-3971
Practice Address - Fax:787-842-5841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11339261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty