Prenta Puerto Rico Ear Nose and Throat Affilates GRP LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PRENTA PUERTO RICO EAR NOSE AND THROAT AFFILATES GRP LLC

Practice address

252 Calle San Jorge Ste 501
San Juan, PR 00912-3241

Phone

(787) 268-2300

Fax

(787) 268-3055

NPI assigned

Feb 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Gonzalez-Aquino, MD

Title

Member

Phone

(787) 268-2300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1972002277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362707",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362707",
            "telephone_number": "787-268-2300",
            "fax_number": "787-268-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE STE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123241",
            "telephone_number": "787-268-2300",
            "fax_number": "787-268-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENTA PUERTO RICO EAR NOSE AND THROAT AFFILATES GRP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-AQUINO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "787-268-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Juan, PR
• Otolaryngology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.