Miguel A Lasalle Lopez, MD

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

11064 Issued in PR

Practice address

55 E de Diego St Suite 105
CPR Professional BLDG
Mayaguez, PR 00680

Phone

(787) 833-2155

Fax

(787) 833-2680

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

University of Puerto Rico School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mayaguez Medical Center Dr Ramon Emeterio Betances IncGroup PAC ID 8527107341, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro Otologico de Puerto Rico CSP

  • Otology & Neurotology Physician
  • Mayaguez, PR
  • NPI 1619958634
  Medicare reassignment NPD Authorized official
• Mayaguez Medical Center Dr Ramon Emeterio Betances Inc

  • General Acute Care Hospital
  • Mayaguez, PR
  • NPI 1013140383
  Medicare reassignment Care Compare group NPD
• Otologics, P.S.C.

  • Audiologist
  • Mayaguez, PR
  • NPI 1699064501
  NPD (past) Authorized official
• Otologic PSC

  • Otology & Neurotology Physician
  • Mayaguez, PR
  • NPI 1417095944
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1699810473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6428",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006816428",
            "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 E DE DIEGO ST SUITE 105",
            "address_2": "CPR PROFESSIONAL BLDG",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-2155",
            "fax_number": "787-833-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASALLE LOPEZ",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "PR",
            "license": "11064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zulma Iris Lamboy
• Eduardo Velez Lara Sr., OP
• Paola Nicole Laracuente Roman, MD
• Israel Laracuente
• Pedro Laracuente, M.D.
• Luz E Lassalle-Nieves, OTR/L
• Jorge Latoni Maldonado
• Latoni Plasticand Reconstructive Surgery PSC
• Gerardo E Latoni, M.D.
• Roberto D Latoni, MD

• Otology & Neurotology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Otology & Neurotology Physician in Puerto Rico

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.