Organization · NPI-2

Otologics, P.S.C.

Audiologist · Mayaguez, PR

NPI number1699064501
StatusActive
Last updated in NPPESJun 13, 2011

Details

NPI
1699064501
Entity type
Organization (NPI-2)
Legal business name
Otologics, P.S.C.
Organization subpart
No
Enumeration date
Mar 31, 2011
Last updated
Jun 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist––Yes

Practice location

55 Calle De Diego E
Suite 105
Mayaguez, PR 00680-5078

Phone 787-833-2155 · Fax 787-833-2680

Mailing address

Cpr Profesional Building 55 Calle De Diego E
Suite 105
Mayaguez, PR 00680-5079

Phone 787-833-2155 · Fax 787-833-2680

Authorized official

Miguel A Lasalle Lopez
President
7878332155

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