Provider Demographics
NPI:1619009768
Name:CENTRO FAMILIAR DE SERVICIOS AUDIOLOGICOS CORP
Entity Type:Organization
Organization Name:CENTRO FAMILIAR DE SERVICIOS AUDIOLOGICOS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:YESENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:787-762-3737
Mailing Address - Street 1:URB VILLA ASTURIAS CALLE 31 31-1
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00000-0983
Mailing Address - Country:US
Mailing Address - Phone:939-639-2845
Mailing Address - Fax:787-762-3737
Practice Address - Street 1:AVE. ROBERTO CLEMENTE 2716
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00000-0985
Practice Address - Country:US
Practice Address - Phone:787-762-3737
Practice Address - Fax:787-762-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty