Provider Demographics
NPI:1457122947
Name:CARIBBEAN AUDIOLOGY AND BALANCE CENTER
Entity Type:Organization
Organization Name:CARIBBEAN AUDIOLOGY AND BALANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRISCILA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRON SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-621-0664
Mailing Address - Street 1:200 CALLE HERNANDEZ CARRION STE 4302
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-4689
Mailing Address - Country:US
Mailing Address - Phone:787-607-6461
Mailing Address - Fax:
Practice Address - Street 1:200 CALLE HERNANDEZ CARRION STE 4302
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4689
Practice Address - Country:US
Practice Address - Phone:787-607-6461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech