Grupo Otorrinolaringologico De Pr Csp
Otolaryngology, Otolaryngology/Facial Plastic Surgery in Bayamon, PR. Organization (NPI-2).
NPI number1396772539
StatusActive
Last updated in NPPESDec 1, 2014
Details
- NPI
- 1396772539
- Entity type
- Organization (NPI-2)
- Legal business name
- Grupo Otorrinolaringologico De Pr Csp
- Organization subpart
- No
- Enumeration date
- Jun 26, 2006
- Last updated
- Dec 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | 11711 | PR | Yes |
| 207YX0905X | Otolaryngology, Otolaryngology/Facial Plastic Surgery | 12188 | PR | |
| 2085N0700X | – | – | ||
| 231H00000X | Audiologist | – | – |
Practice location
1845 Carr 2 Ste 105Bayamon Medical Plaza
Bayamon, PR 00959-7203
Phone 787-785-8981 · Fax 787-776-1511
Mailing address
Bayamon Medical Plaza 1845 Carretera 2Suite 105
Bayamon, PR 00959-7203
Phone 787-785-8981 · Fax 787-776-1511
Authorized official
Jose R Sanchez
President
7877858981
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