Provider Demographics
NPI:1790966596
Name:CENTRO AUDIOLOGICO DE PUERTO RICO INC
Entity Type:Organization
Organization Name:CENTRO AUDIOLOGICO DE PUERTO RICO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-269-0427
Mailing Address - Street 1:51-43 AVE MAIN
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-6636
Mailing Address - Country:US
Mailing Address - Phone:787-269-0427
Mailing Address - Fax:
Practice Address - Street 1:51-43 AVE MAIN
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6636
Practice Address - Country:US
Practice Address - Phone:787-269-0427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty