Centro Familiar de Servicios Audiologicos Corp

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

CENTRO FAMILIAR DE SERVICIOS AUDIOLOGICOS CORP

Practice address

Ave. Roberto Clemente 2716
Carolina, PR 00000-0985

Phone

(787) 762-3737

Fax

(787) 762-3737

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Miss Yesenia Gonzalez, M.S.NPI 1518079474

Title

President

Phone

(787) 762-3737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yesenia Gonzalez, MS

  • Audiologist
  • Carolina, PR
  • NPI 1518079474
  Medicare reassignment NPD Authorized official
• Elga Maytee Deliz Roldan, AU.D54

  • Audiologist
  • Carolina, PR
  • NPI 1316966161
  Medicare reassignment NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1619009768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VILLA ASTURIAS CALLE 31 31-1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "000000983",
            "telephone_number": "939-639-2845",
            "fax_number": "787-762-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ROBERTO CLEMENTE 2716",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "000000985",
            "telephone_number": "787-762-3737",
            "fax_number": "787-762-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO FAMILIAR DE SERVICIOS AUDIOLOGICOS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YESENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-762-3737",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Audiologist-Hearing Aid Fitter in Carolina, PR
• Providers in Carolina, PR by specialty
• Audiologist-Hearing Aid Fitter in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.