DVAWORLDRX, LLC
NPI 1053987032
Prosthetic/Orthotic Supplier in Hyde Park, MA

Active since June 01, 2021
274 KENNEBEC ST, HYDE PARK, MA 02136(781) 241-2782(857) 703-2625 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Prosthetic/Orthotic Supplier

About DVAWORLDRX, LLC

This page provides the complete NPI Profile along with additional information for Dvaworldrx, Llc, a provider established in Hyde Park, Massachusetts operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1053987032 assigned on June 2021. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jacquelyn Celes Manzanillo (Manager)

NPI
1053987032 Verify this NPI
Provider Name
DVAWORLDRX, LLC
Entity Type
Organization
Location Address
274 KENNEBEC ST HYDE PARK, MA 02136
Location Phone
(781) 241-2782
Location Fax
(857) 703-2625
Mailing Address
274 KENNEBEC ST HYDE PARK, MA 02136
Mailing Phone
(781) 241-2782
Mailing Fax
(857) 703-2625
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2021
Last Update Date
06-01-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JACQUELYN CELES MANZANILLO

Authorized Official Title
MANAGER
Authorized Official Phone
(781) 241-2782

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053987032, enumerated as an "organization" on June 01, 2021.

The provider is located at 274 KENNEBEC ST HYDE PARK, MA 02136 and the phone number is (781) 241-2782.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.