NPIMap

Organization Active NPI

Otologics, P.S.C.

  • Audiologist
  • Mayaguez, PR
National Provider Identifier
1699064501
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
OTOLOGICS, P.S.C.
Practice address
55 Calle de Diego E
Suite 105
Mayaguez, PR 00680-5078
Phone
(787) 833-2155
Fax
(787) 833-2680
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Miguel A Lasalle Lopez, M.D.NPI 1699810473
Title
President
Phone
(787) 833-2155

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
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

55 Calle de Diego E
Suite 105
Mayaguez, PR 00680-5078

Mailing address

CPR Profesional Building 55 Calle de Diego E
Suite 105
Mayaguez, PR 00680-5079
Phone (787) 833-2155

National Provider Directory

National Provider Directory
Tax ID family
Otologic PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

55 Calle de Diego E
Ste 105
Mayaguez, PR 00680
Phone (787) 833-2155

Practitioners & affiliated clinicians

Practitioners 4

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": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1699064501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CPR PROFESIONAL BUILDING 55 CALLE DE DIEGO E",
            "address_2": "SUITE 105",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805079",
            "telephone_number": "787-833-2155",
            "fax_number": "787-833-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DE DIEGO E",
            "address_2": "SUITE 105",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805078",
            "telephone_number": "787-833-2155",
            "fax_number": "787-833-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOLOGICS, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "LASALLE LOPEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-833-2155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.