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

Organization subpart

No

Name

Gabriel Hernandez, MD

Title

President

Phone

(787) 653-9919

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
  NPD OTOLARYNGOLOGY

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2023.

{
    "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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• 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 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.