Provider Demographics
NPI:1750849287
Name:PRO AUDIOLOGY SOLUTIONS LLC
Entity Type:Organization
Organization Name:PRO AUDIOLOGY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBR
Authorized Official - Phone:787-215-5598
Mailing Address - Street 1:PO BOX 11164
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-2264
Mailing Address - Country:US
Mailing Address - Phone:787-253-1531
Mailing Address - Fax:
Practice Address - Street 1:URBANIZACION VILLA FONTANA
Practice Address - Street 2:2AL CALLE 6 114 VIA 6
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-253-1531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-04
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech