Consultorio Oto CCC PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

9602 Issued in PR

Legal business name

CONSULTORIO OTO CCC PSC

Practice address

Ave Torre San Cristobal
Suite 205 a
Coto Laurel, PR 00780

Phone

(787) 844-5121

Fax

(787) 842-5796

NPI assigned

Oct 17, 2006

Last updated

Oct 3, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jaime Luis Ortiz Rosario

Title

Medico

Phone

(787) 844-5121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaime Luis Ortiz

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Coto Laurel, PR
  • NPI 1003808171
  Medicare reassignment NPD
• Carmen Adela Viera, M.S.

  • Audiologist
  • Debary, FL
  • NPI 1194889949
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1003997206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1435",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951435",
            "telephone_number": "787-844-5121",
            "fax_number": "787-842-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE TORRE SAN CRISTOBAL",
            "address_2": "SUITE 205 A",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-844-5121",
            "fax_number": "787-842-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTORIO OTO CCC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "ORTIZ ROSARIO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MEDICO",
        "authorized_official_telephone_number": "787-844-5121",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinica Familiar Coto Laurel Inc
• Cognitium, LLC
• Milagros C Colon Renovales, RPH
• Lennis Nereida Colon Rivera
• Laura Johanna Colon, PSY.D
• Vivianette Crespo Rivera
• Jose R Cruz Cestero, M.D
• Pablo Jose Cruz Lopez, M.D.
• Maria Fatima Cruz
• Custom Wellness Solutions

• Specialist in Coto Laurel, PR
• Providers in Coto Laurel, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.