Individual provider · Type 1 NPI
Edilberto Montenegro Sr.
Prosthetic/Orthotic Supplier · Norcross, GA
Practice location
5376 Lambert Dr Apt A, Apt A
Norcross, GA 30093-4864
Fax (678) 400-7896
Mailing address
5376 A Lambert Dr, Apt A
Norcross, GA 30093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: 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.
About NPI 1295146793
Edilberto Montenegro Sr.'s National Provider Identifier is 1295146793, issued on May 19, 2014. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Norcross, GA. The record was last updated on May 19, 2014.