Organization Active NPI

Oimos PSC

  • Audiologist
  • Aguada, PR
National Provider Identifier
1649986845
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
OIMOS PSC
Practice address
94 Calle Colon
Aguada, PR 00602-3115
Phone
(305) 904-3649
NPI assigned
Jan 31, 2023
Last updated
Jan 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Dr. Ismaly Lorenzo MatiasNPI 1154712263
Title
Owner
Phone
(305) 904-3649

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
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

94 Calle Colon
Aguada, PR 00602-3115

Mailing address

1813 Bo Asomante
Aguada, PR 00602-2405
Phone (305) 904-3649

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230315000169 PR Part B Supplier - Clinic/Group Practice 0941674980 Receives reassigned benefits from 1 practitioner
Practice locations: Aguada, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1649986845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 BO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022405",
            "telephone_number": "305-904-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 CALLE COLON",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023115",
            "telephone_number": "305-904-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OIMOS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "LORENZO MATIAS",
        "authorized_official_first_name": "ISMALY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-904-3649",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.