Clinica Integral de Otorrinolaringologia CRL

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

CLINICA INTEGRAL DE OTORRINOLARINGOLOGIA CRL

Practice address

1452 Avenida Ashford
Edificio Adaligia Suite 1
San Juan, PR 00907-1556

Phone

(787) 653-9919

NPI assigned

Mar 15, 2023

Last updated

Mar 15, 2023By the provider in NPPES

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) 653-9919

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriel Hernandez Martin, M.D.

  • Otolaryngology Physician
  • San Juan, PR
  • NPI 1912326752
  NPD

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1972204055",
    "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",
            "telephone_number": "787-653-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 AVENIDA ASHFORD",
            "address_2": "EDIFICIO ADALIGIA SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071556",
            "telephone_number": "787-653-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA INTEGRAL DE OTORRINOLARINGOLOGIA CRL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-653-9919",
        "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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• 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 Mar 15, 2023; 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.