Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mmj Cocos Boutique Inc

Organization Prosthetic/Orthotic Supplier · NPI 1114195062

Mmj Cocos Boutique Inc is a Prosthetic/Orthotic Supplier in Munster, Indiana. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

921 Ridge Rd # 2
Munster, IN 46321-1739
Phone: (219) 836-0011
Fax: (219) 836-0011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1114195062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marisol Patino — Owner · (219) 836-0011
NPI enumeratedFebruary 13, 2008
Last updated in NPPESJuly 24, 2008
Mailing address921 Ridge Rd # 2, Munster, IN 46321-1739

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