Provider Demographics
NPI:1245751171
Name:THE VOICE AND HEAD & NECK SURGERY INSTITUTE, PSC
Entity Type:Organization
Organization Name:THE VOICE AND HEAD & NECK SURGERY INSTITUTE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YAMIL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CASTILLO BEAUCHAMP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-621-4816
Mailing Address - Street 1:425 CARR 693
Mailing Address - Street 2:PMB 384
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-621-4816
Mailing Address - Fax:787-621-4817
Practice Address - Street 1:MANATI MEDICAL CENTER PROFESSIONAL PLAZA SUITE 512
Practice Address - Street 2:CALLE HERNANDEZ CARRION
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-621-4816
Practice Address - Fax:787-621-4917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2017-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18856207Y00000X
PR18258208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty