OrganizationActive
Mmj Cocos Boutique Inc
NPI 1114195062 · Prosthetic/Orthotic Supplier · Munster, IN
Mmj Cocos Boutique Inc is a Prosthetic/Orthotic Supplier organization in Munster, IN (NPI 1114195062).
Provider details
- NPI number
- 1114195062
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Marisol Patino, Owner(219) 836-0011
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
921 Ridge Rd # 2
Munster, IN 46321-1739
Phone: (219) 836-0011
Fax: (219) 836-0011
Street-level locationGet directions
Mailing address
921 Ridge Rd # 2
Munster, IN 46321-1739
Registry dates
- Enumerated
- 2008-02-13
- Last updated
- 2008-07-24
Frequently asked questions
- What is Mmj Cocos Boutique Inc's NPI number?
- Mmj Cocos Boutique Inc's National Provider Identifier (NPI) is 1114195062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mmj Cocos Boutique Inc?
- Mmj Cocos Boutique Inc is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Mmj Cocos Boutique Inc located?
- Mmj Cocos Boutique Inc's practice location on file with NPPES is 921 Ridge Rd # 2, Munster, IN 46321-1739.
- What is Mmj Cocos Boutique Inc's phone number?
- The practice phone number listed in the NPPES registry for Mmj Cocos Boutique Inc is (219) 836-0011.
- Who is the authorized official for Mmj Cocos Boutique Inc?
- The authorized official listed on Mmj Cocos Boutique Inc's NPPES record is Marisol Patino, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mmj Cocos Boutique Inc's NPI active?
- Yes — Mmj Cocos Boutique Inc's NPI (1114195062) is active in the NPPES registry as of the last update on 2008-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.