Provider Demographics
NPI:1508110958
Name:AUDIOLOGOS CLINICOS INC
Entity Type:Organization
Organization Name:AUDIOLOGOS CLINICOS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:ARMANDO
Authorized Official - Last Name:PURCELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-798-5000
Mailing Address - Street 1:100 PASEO SAN PABLO
Mailing Address - Street 2:EDIF ARTURO CADILLA STE 412
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7028
Mailing Address - Country:US
Mailing Address - Phone:787-798-5000
Mailing Address - Fax:787-798-5005
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:EDIF ARTURO CADILLA STE 412
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7028
Practice Address - Country:US
Practice Address - Phone:787-798-5000
Practice Address - Fax:787-798-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty