CENTRO OTOLOGICO DE PUERTO RICO CSP (NPI# 1619958634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619958634 |
| Entity Type | Organization |
| Organization Name | CENTRO OTOLOGICO DE PUERTO RICO CSP |
| Practice Address |
55 Calle De Diego E Suite 105 Mayaguez PR 00680-5078 |
| Mailing Address |
Po Box 6428 Mayaguez PR 00681-6428 |
| Practice Telephone | 7878332155 |
| Practice Fax Number | 7878332680 |
| Mailing Telephone | 7878332155 |
| Mailing Fax Number | 7878332680 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | MIGUEL A LASALLE LOPEZ (OWNER) |
| Authorized Official Telephone | 7878332155 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 11064 | PR | Speech, Language and Hearing Service Providers |
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
11064 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRIPLES | 20192 | 01 |
| Street Address |
55 CALLE DE DIEGO E SUITE 105 |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00680-5078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881683852 | Ubaldino Ramirez De Arellano | Dentist | 55 Calle De Diego E, Suite #206, Mayaguez, PR 00680-5078 | 2005-10-20 |
| 1518402601 | Dres.ramirez De Arellano,llc | Dentist | 55 Calle De Diego E, Suite 206, Mayaguez, PR 00680-5078 | 2016-12-27 |
| 1699064501 | Otologics, P.s.c. | Audiologist | 55 Calle De Diego E, Suite 105, Mayaguez, PR 00680-5078 | 2011-03-31 |
| 1215185343 | Monica Maria Egozcue-dionisi | Internal Medicine | 55 Calle De Diego E, Office # 401, Mayaguez, PR 00680-5078 | 2008-09-03 |
| 1497891097 | Laboratorios Del Sueno De Puerto Rico | Internal Medicine | 55 Calle De Diego E, Suite 405, Mayaguez, PR 00680-5078 | 2007-01-30 |
| 1225068257 | Marisol Urrutia | Pediatrics | 55 Calle De Diego E, Suite 302, Mayaguez, PR 00680-5078 | 2006-07-04 |
| 1487628210 | Gilberto Baez-rios | Internal Medicine | 55 Calle De Diego E, Cpr Professional Building Ste. 203, Mayaguez, PR 00680-5078 | 2006-02-16 |
| 1760463970 | Centro Neumologico Del Oeste | Internal Medicine | 55 Calle De Diego E, Suite 401, Mayaguez, PR 00680-5078 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668720 | Antenor Xavier Aviles | Family Medicine | Carretera 349, Km 2.7, Mayaguez, PR 00680 | 2020-10-27 |
| 1053919027 | Eyda Yesmin Inigo | Psychologist | Urb. Colinas De Alturas De Mayaguez 2020, Mayaguez, PR 00680 | 2020-10-13 |
| 1033717343 | Yalizeth Katiuska Rivera Gonzalez | Psychologist | Carr 348 Km 7.2, Bo Rosario, Mayaguez, PR 00680 | 2020-10-09 |
| 1699372797 | Stephanie Hernandez | Psychologist | Medical Center Plaza 740 Ave. Hostos, Suite 213, Mayaguez, PR 00680 | 2020-10-02 |
| 1346855863 | Victor Ramon Madera | Assisted Living Facility | Avenida Ramon Arbona 1050, Barrio Sabalos, Mayaguez, PR 00680 | 2020-09-11 |
| 1396358479 | Meddyg Group LLC | General Practice | 7 Calle Ramon Emeterio Betnaces, Esquina De Diego, Mayaguez, PR 00680 | 2020-08-28 |
| 1275146631 | Tatiana Velez-burgos | Dietitian, Registered | Rd 348 Km 3.0 Interior, Bo. Quebrada Grande, Mayaguez, PR 00680 | 2020-08-26 |
| 1962013441 | Yeileen Concepcion Hernandez | Psychologist | Edif. Centro Del Oeste, Calle Relampago #70 Oficina 104, Mayaguez, PR 00680 | 2020-08-10 |
| 1245840461 | Natasha Mederos Rocha | Student in an Organized Health Care Education/Training Program | Urb. Los Versalles Calle Reina #2209, Mayaguez, PR 00680 | 2020-08-03 |
| 1255957908 | Alexander Enrique Benitez Rodriguez | General Practice | Carr. 106 Km. 13.8 Bo. Naranjales, Mayaguez, PR 00680 | 2020-06-18 |
| Find all providers in zip 00680 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699810473 | Miguel A Lasalle Lopez | Otolaryngology | 55 E De Diego St Suite 105, Cpr Professional Bldg, Mayaguez, PR 00680 | 2007-02-20 |
| 1417095944 | Otologic Psc | Otolaryngology | 55e De Diego St., Suite 105, Cpr Professional Bldg., Mayaguez, PR 00680 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265455216 | Giovanni C Casillas | Otolaryngology | Calle B, Esquina J # 16, Edificio Medico Hermanas Davila, Oficina 210, Bayamon, PR 00959 | 2006-07-25 |
| 1477594489 | Vicente Lopez-hidalgo | Otolaryngology | 500 Ave Munoz Rivera, El Centro II Suite 607, San Juan, PR 00918-3300 | 2006-06-09 |
Please comment or provide details below to improve the information on CENTRO OTOLOGICO DE PUERTO RICO CSP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.