ENT Healthcare LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ENT HEALTHCARE LLC

Practice address

1452 Ave Ashford Ste 1B
San Juan, PR 00907-1581

Phone

(787) 653-9919

NPI assigned

Apr 17, 2025

Organization subpart

No

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

Authorized official

Name

Gabriel Hernandez, MD

Title

President

Phone

(787) 503-0588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 3

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

• Gabriel Hernandez Martin, M.D.

  • Otolaryngology Physician
  • San Juan, PR
  • NPI 1912326752
  Medicare reassignment NPD
• Lizann Mari Rosario Rios

  • Speech-Language Pathologist
  • San Juan, PR
  • NPI 1346006525

  Single Specialty

  NPD
• Jeamarie Pascual-Marrero, M.D.

  • Otolaryngology Physician
  • San Juan, PR
  • NPI 1598015265

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1871389734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362278",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 AVE ASHFORD STE 1B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071581",
            "telephone_number": "787-653-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-503-0588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Otolaryngology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.