Clinica de Rehabilitacion Auditiva Audiofonos PSC
Organization Active NPI Audiologist · Bayamon, PR
NPI 1861428096 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1861428096
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- License
- 559, 560 (PR)
- Legal business name
- CLINICA DE REHABILITACION AUDITIVA AUDIOFONOS PSC
- Practice address
- Urb. Santa Rosa
Carr. 174 Bloque 21-27
Bayamon, PR 00959 - Phone
- (787) 740-4444
- Fax
- (787) 740-4440
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Michelle M Adames
- Title
- President
- Phone
- (787) 740-4444
Practitioners 2
-
Lizanette Hernandez, AUD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130424000471 | PR | Part B Supplier - Clinic/Group Practice | 0042456857 |
Receives reassigned benefits from 2 practitioners Practice locations: Bayamon, PR |
National Provider Directory
Locations
21-27 Carr 174
Bayamon, PR 00959
Phone (787) 740-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | 559, 560 | PR | Yes |
Addresses
Primary practice location
Urb. Santa Rosa
Carr. 174 Bloque 21-27
Bayamon, PR 00959
Mailing address
Urb. Santa Rosa
Carr. 174 Bloque 21-27
Bayamon, PR 00959-5908
Phone (787) 740-4444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC396A | Other | PR | PTAN/OSCAR/LEGACY |
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- Clinica de Medicina Interna PR LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 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.