Organization Active NPI

Voice & Sinus Institute PSC

  • Otolaryngology Physician
  • San Juan, PR
National Provider Identifier
1114132586
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
12433 Issued in PR
Legal business name
VOICE & SINUS INSTITUTE PSC
Practice address
735 Ave Ponce de Leon
Torre Medica de Auxilio Mutuo Suite 214
San Juan, PR 00917-5022
Phone
(787) 766-1900
Fax
(787) 766-2057
NPI assigned
May 11, 2007
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Dr. Omar Gonzalez - Yanes, M.D.NPI 1073590691
Title
President
Phone
(787) 766-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 12433 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Torre Medica de Auxilio Mutuo Suite 214
San Juan, PR 00917-5022

Mailing address

735 Ponce de Leon Ave
Torre Medica Auxilio Mutuo Suite 214
San Juan, PR 00917
Phone (787) 766-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090707000406 PR Part B Supplier - Clinic/Group Practice 4880745694 Receives reassigned benefits from 4 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 214
San Juan, PR 00917
Phone (787) 766-1900

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1114132586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 PONCE DE LEON AVE",
            "address_2": "TORRE MEDICA AUXILIO MUTUO SUITE 214",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00917",
            "telephone_number": "787-766-1900",
            "fax_number": "787-766-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA DE AUXILIO MUTUO SUITE 214",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-766-1900",
            "fax_number": "787-766-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOICE & SINUS INSTITUTE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ - YANES",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-766-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "12433",
            "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 Jun 9, 2009; 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.