Active NPIOrganization

Centro Otologico De Puerto Rico Csp

Otolaryngology, Otology & Neurotology in Mayaguez, Puerto Rico

NPI Number1619958634
Practice location
55 Calle De Diego E, Suite 105, Mayaguez, PR 00680-5078
Fax
787-833-2680
Last updated
July 12, 2011

Centro Otologico De Puerto Rico Csp is a healthcare organization based in Mayaguez, PR. Centro Otologico De Puerto Rico Csp practices in Mayaguez, PR. The NPI Number for Centro Otologico De Puerto Rico Csp is 1619958634 and holds a License No. 11064 (PR). The current practice location address for Centro Otologico De Puerto Rico Csp is 55 Calle De Diego E, Suite 105, Mayaguez, PR 00680-5078 and can be reached out via phone at 787-833-2155 and via fax at 787-833-2680.

Provider Profile Details

NPI Number
1619958634
Provider Name
Centro Otologico De Puerto Rico Csp
Provider Entity Type
Organization
Address
55 Calle De Diego E, Suite 105, Mayaguez, PR 00680-5078
Phone Number
787-833-2155
Fax Number
787-833-2680
Primary Taxonomy
Otolaryngology, Otology & Neurotology · 207YX0901X
Organization Subpart
No
Authorized Official
Miguel A Lasalle Lopez, MD · Owner · 787-833-2155
Provider Enumeration Date
November 8, 2005
Last Update Date
July 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Calle De Diego E
Suite 105
Mayaguez, PR 00680-5078
Zip
00680-5078
Phone Number
787-833-2155
Fax Number
787-833-2680
Mayaguez, PR 00680Get directions →

Provider Business Mailing Address Details

Address
Po Box 6428
Mayaguez, PR 00681-6428
City
Mayaguez
State
PR
Zip
00681-6428
Phone Number
787-833-2155
Fax Number
787-833-2680

License Information

License Number (1)
11064
License State (1)
PR
Taxonomy (1)
Audiologist · 231H00000X
License Number (2)
11064
License State (2)
PR
Taxonomy (2)
Otolaryngology, Otology & Neurotology · 207YX0901X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Centro Otologico De Puerto Rico Csp?

The NPI number of Centro Otologico De Puerto Rico Csp is 1619958634. It was assigned on November 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Centro Otologico De Puerto Rico Csp?

Centro Otologico De Puerto Rico Csp is registered under the primary taxonomy Otolaryngology, Otology & Neurotology (code 207YX0901X), licensed in PR under license number 11064.

Where does Centro Otologico De Puerto Rico Csp practice?

The practice location is 55 Calle De Diego E, Suite 105, Mayaguez, PR 00680-5078. The office can be reached at 787-833-2155 (phone) or 787-833-2680 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619958634 directly on the NPPES registry website.

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