Ears PR, PSC
Organization Active NPI Audiologist · Guaynabo, PR
NPI 1720847239 · NPPES record last updated Sep 11, 2024
Key facts
- NPI
- 1720847239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- Legal business name
- EARS PR, PSC
- Practice address
- 44 Calle Carazo Suite 1-a
Guaynabo, PR 00969 - Phone
- (939) 370-6829
- NPI assigned
- Mar 18, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Limary Crespo Medina, AUD
- Title
- President
- Phone
- (939) 370-6829
Practitioners 1
-
Limary Crespo Medina, AUD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240730000074 | PR | Part B Supplier - Clinic/Group Practice | 8325585136 |
Receives reassigned benefits from 1 practitioner Practice locations: Guaynabo, PR |
National Provider Directory
Locations
44 Calle Carazo
Ste 1A
Guaynabo, PR 00969
Phone (939) 370-6829
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | Yes |
Addresses
Primary practice location
44 Calle Carazo Suite 1-a
Guaynabo, PR 00969
Mailing address
PO Box 922
Guaynabo, PR 00970-0922
Phone (939) 370-6829
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.