Active NPI
Audiologos, CSP
- Assistive Technology Supplier Audiologist
- San Juan, PR
National Provider Identifier
1710151717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Supplier Audiologist
- License
- 2
- Legal business name
- AUDIOLOGOS, CSP
- Practice address
- Las Americas Professional Center
Ave. Domenech 400 of. 206
San Juan, PR 00918 - Phone
- (787) 250-7471
- Fax
- (787) 756-7471
- NPI assigned
- Apr 22, 2008
- Last updated
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Miguel E Maldonado, AU.D.
- Title
- Clinical Director
- Phone
- (787) 250-7471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Supplier Audiologist | 231HA2500X | 2 | PR | Primary |
Addresses
Primary practice location
Las Americas Professional Center
Ave. Domenech 400 of. 206
San Juan, PR 00918
Mailing address
Las Americas Professional Center
Ave. Domenech 400 of. 206
San Juan, PR 00918
Phone (787) 250-7471
National Provider Directory
National Provider DirectoryLocations
400 Ave Domenech
Ste 206
San Juan, PR 00918
Phone (787) 250-7471
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.
-
- Audiologist
- San Juan, PR
- NPI 1942365655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1710151717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAS AMERICAS PROFESSIONAL CENTER",
"address_2": "AVE. DOMENECH 400 OF. 206",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-250-7471",
"fax_number": "787-756-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAS AMERICAS PROFESSIONAL CENTER",
"address_2": "AVE. DOMENECH 400 OF. 206",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-250-7471",
"fax_number": "787-756-7471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUDIOLOGOS, CSP",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "MALDONADO",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "787-250-7471",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231HA2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist, Assistive Technology Supplier",
"state": "PR",
"license": "2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.