MMJ COCOS BOUTIQUE INC
NPI 1114195062
Prosthetic/Orthotic Supplier in Munster, IN

Q: What is Mmj Cocos Boutique Inc's NPI number?

The NPI number for Mmj Cocos Boutique Inc is 1114195062. It was assigned to this organization in the NPPES registry on February 13, 2008.

Q: What is Mmj Cocos Boutique Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since February 13, 2008

921 RIDGE RD # 2, MUNSTER, IN 46321(219) 836-0011(219) 836-0011 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mmj Cocos Boutique Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMJ COCOS BOUTIQUE INC (NPI 1114195062) is a healthcare organization registered as a prosthetic/orthotic supplier in Munster, Indiana and active in the NPI registry since February 2008. The organization lists Marisol Patino, Owner, as its authorized official.

NPPES Registry Identity

NPI1114195062

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameMMJ COCOS BOUTIQUE INC

Location Address921 RIDGE RD # 2Munster, IN 46321-1739

Mailing Address921 Ridge Rd # 2Munster, IN 46321-1739 · (219) 836-0011 · Fax (219) 836-0011

Phone(219) 836-0011

Fax(219) 836-0011

Organization SubpartNo

Authorized OfficialMarisol PatinoOwner · (219) 836-0011

Enumeration DateFebruary 13, 2008

Last NPPES UpdateJuly 24, 2008

✔ NPI 1114195062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

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.

921 RIDGE RD # 2, Munster, IN 46321

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Other Identifiers 1

Medicare NSC6070750001IN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mmj Cocos Boutique Inc's NPI number?

The NPI number for Mmj Cocos Boutique Inc is 1114195062. It was assigned to this organization in the NPPES registry on February 13, 2008.

Where is Mmj Cocos Boutique Inc located?

Mmj Cocos Boutique Inc is located at 921 Ridge Rd # 2, Munster, IN 46321. The listed phone number is (219) 836-0011.

What is Mmj Cocos Boutique Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Mmj Cocos Boutique Inc was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.