Centro Audiologico de Puerto Rico Inc

Organization Active NPI Audiologist · Bayamon, PR

NPI 1790966596 · NPPES record last updated Feb 20, 2024

Key facts

NPI
1790966596
Entity type
Organization (NPI type 2)
Primary specialty
Audiologist 231H00000X
Legal business name
CENTRO AUDIOLOGICO DE PUERTO RICO INC
Practice address
51-43 Ave Main
Bayamon, PR 00959-6636
Phone
(787) 269-0427
NPI assigned
Nov 20, 2007
Organization subpart
No

Authorized official

Name
Noemi Negron NPI 1104950849
Title
Owner
Phone
(787) 269-0427

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140226000854 PR Part B Supplier - Clinic/Group Practice 2567692221 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

Locations

51-43 Ave Main
Bayamon, PR 00959
Phone (787) 269-0427

51-39 Ave Main
Bayamon, PR 00959
Phone (787) 269-0427

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist
Group: 193400000X SINGLE SPECIALTY GROUP
231H00000X Yes

Addresses

Primary practice location

51-43 Ave Main
Bayamon, PR 00959-6636

Mailing address

51-43 Ave Main
Bayamon, PR 00959-6636
Phone (787) 269-0427

Other providers in Bayamon, PR

All providers in Bayamon, PR · Audiologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.