Individual provider Active NPI

Grace Ann Owen Sanoguet, SC.D.

  • Audiologist
  • San Juan, PR
National Provider Identifier
1104976471
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
529 Issued in PR
Practice address
Ave. Americo Miranda Reparto Metropolitano Shopping
Clinica de la Escuela de Medicina
San Juan, PR 00921
Phone
(787) 758-7910
Fax
(787) 625-1966
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 529 PR Primary

Addresses

Primary practice location

Ave. Americo Miranda Reparto Metropolitano Shopping
Clinica de la Escuela de Medicina
San Juan, PR 00921

Mailing address

PO Box 365067
Audiology Program Office 430 - Eps Building
San Juan, PR 00936-5067
Phone (787) 758-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110225000381 PR Practitioner - Qualified Audiologist 4183805096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Upr RCM Escuela de Medicina Ppmi
Oficina a 563
San Juan, PR 00936-0001
Phone (787) 758-2525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
529PRMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1104976471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365067",
            "address_2": "AUDIOLOGY PROGRAM OFFICE 430 - EPS BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525",
            "fax_number": "787-274-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. AMERICO MIRANDA REPARTO METROPOLITANO SHOPPING",
            "address_2": "CLINICA DE LA ESCUELA DE MEDICINA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-7910",
            "fax_number": "787-625-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN SANOGUET",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "SC.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.