Organization Active NPI

Centro Otorrinolaringologia del Noroeste, CSP

  • Medical Specialty Clinic/Center
  • Aguadilla, PR
National Provider Identifier
1639102775
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
9008
Legal business name
CENTRO OTORRINOLARINGOLOGIA DEL NOROESTE, CSP
Practice address
162 Ave Pedro Albizu Campos
Suite 2
Aguadilla, PR 00603-5725
Phone
(787) 882-2602
Fax
(787) 891-1166
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Giancarlo E Luigi, M.D. ENT
Title
President
Phone
(787) 882-2602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 9008 Primary

Addresses

Primary practice location

162 Ave Pedro Albizu Campos
Suite 2
Aguadilla, PR 00603-5725

Mailing address

PO Box 1566
Moca, PR 00676-1566
Phone (787) 882-2602

Other names 1

  • Centro Otorrinolaringologia del Noroeste, CSP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080731000072 PR Part B Supplier - Clinic/Group Practice 1355415985 Receives reassigned benefits from 1 practitioner
Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory

Locations

162 Ave Pedro Albizu Campos
Aguadilla, PR 00603
Phone (787) 882-2602

162 Ave Pedro Albizu Campos
#2
Aguadilla, PR 00603
Phone (787) 882-2602

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639102775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1566",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761566",
            "telephone_number": "787-882-2602",
            "fax_number": "787-891-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 AVE PEDRO ALBIZU CAMPOS",
            "address_2": "SUITE 2",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035725",
            "telephone_number": "787-882-2602",
            "fax_number": "787-891-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO OTORRINOLARINGOLOGIA DEL NOROESTE, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUIGI",
        "authorized_official_first_name": "GIANCARLO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-882-2602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. ENT"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": "9008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Otorrinolaringologia del Noroeste, CSP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.