Arecibo Audiology LLC
Organization Active NPI Audiologist · Arecibo, PR
NPI 1114656402 · NPPES record last updated Jun 10, 2022
Key facts
- NPI
- 1114656402
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- Legal business name
- ARECIBO AUDIOLOGY LLC
- Practice address
- Carr 651 KM 5.2 Bo Dominguito
Arecibo, PR 00612 - Phone
- (787) 816-3195
- Fax
- (787) 816-0371
- NPI assigned
- Jun 10, 2022
- Organization subpart
- No
Authorized official
- Name
- Isamar Gonzalez Feliciano, AUD
- Title
- Director/Audiology
- Phone
- (787) 816-3195
Practitioners 1
-
Isamar Gonzalez, LCDA.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220805001657 | PR | Part B Supplier - Clinic/Group Practice | 5193107266 |
Receives reassigned benefits from 1 practitioner Practice locations: Arecibo, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | Yes |
Addresses
Primary practice location
Carr 651 KM 5.2 Bo Dominguito
Arecibo, PR 00612
Mailing address
HC 2 Box 16367
Arecibo, PR 00612-9380
Phone (787) 816-3195
Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.