Organization Active NPI

Audiologos, CSP

  • Assistive Technology Supplier Audiologist
  • San Juan, PR
National Provider Identifier
1710151717
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Supplier AudiologistTaxonomy code 231HA2500X
License
2 Issued in PR
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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)CodeLicenseStatePrimary
Assistive Technology Supplier AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.