NPIMap

Organization Active NPI

Prime Otolaryngology Services, PSC

  • Otolaryngology Physician
  • Guaynabo, PR
National Provider Identifier
1821542234
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
11652 Issued in PR
Legal business name
PRIME OTOLARYNGOLOGY SERVICES, PSC
Practice address
1510 Ave F.D. Roosevelt
Mezzanine Suite B
Guaynabo, PR 00968-2602
Phone
(787) 706-4334
Fax
(787) 749-0993
NPI assigned
Aug 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Authorized official

Name
Dr. Lisette Yvonne Perez, M.D.
Title
President
Phone
(787) 706-4334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 11652 PR Primary

Addresses

Primary practice location

1510 Ave F.D. Roosevelt
Mezzanine Suite B
Guaynabo, PR 00968-2602

Mailing address

PO Box 1036
Guaynabo, PR 00970-1036
Phone (787) 706-4334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1821542234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701036",
            "telephone_number": "787-706-4334",
            "fax_number": "787-749-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 AVE F.D. ROOSEVELT",
            "address_2": "MEZZANINE SUITE B",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682602",
            "telephone_number": "787-706-4334",
            "fax_number": "787-749-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME OTOLARYNGOLOGY SERVICES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-706-4334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "11652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.