OrganizationActive
Concourse Orthotic and Prosthetic Lab
NPI 1114930765 · Customized Equipment (DME) · Hialeah, FL
Concourse Orthotic and Prosthetic Lab is a Customized Equipment (DME) organization in Hialeah, FL (NPI 1114930765).
Provider details
- NPI number
- 1114930765
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Altagracia Pena, Manager(305) 362-6962
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3750 W 16th Ave
Suite 404
Hialeah, FL 33012-4654
Phone: (305) 362-6962
Fax: (305) 362-4424
Street-level locationGet directions
Mailing address
3750 W 16th Ave
Hialeah, FL 33012-4654
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Concourse Orthotic and Prosthetic Lab's NPI number?
- Concourse Orthotic and Prosthetic Lab's National Provider Identifier (NPI) is 1114930765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Concourse Orthotic and Prosthetic Lab?
- Concourse Orthotic and Prosthetic Lab is classified in the NPPES registry as Customized Equipment (DME) (Suppliers).
- Where is Concourse Orthotic and Prosthetic Lab located?
- Concourse Orthotic and Prosthetic Lab's practice location on file with NPPES is 3750 W 16th Ave, Hialeah, FL 33012-4654.
- What is Concourse Orthotic and Prosthetic Lab's phone number?
- The practice phone number listed in the NPPES registry for Concourse Orthotic and Prosthetic Lab is (305) 362-6962.
- Who is the authorized official for Concourse Orthotic and Prosthetic Lab?
- The authorized official listed on Concourse Orthotic and Prosthetic Lab's NPPES record is Altagracia Pena, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Concourse Orthotic and Prosthetic Lab's NPI active?
- Yes — Concourse Orthotic and Prosthetic Lab's NPI (1114930765) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.