Provider Demographics
NPI:1457606717
Name:INSTITUTO DE OTORRINOLARINGOLOGIA DEL CARIBE, CSP
Entity Type:Organization
Organization Name:INSTITUTO DE OTORRINOLARINGOLOGIA DEL CARIBE, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE INSTITUTO DE OTORRINOLAR
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANTINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-259-4233
Mailing Address - Street 1:PO BOX 7184
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7184
Mailing Address - Country:US
Mailing Address - Phone:787-259-4233
Mailing Address - Fax:787-259-4235
Practice Address - Street 1:2225 PONCE BY PASS SUITE 502
Practice Address - Street 2:PARRA MEDICAL INSTITUTE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1379
Practice Address - Country:US
Practice Address - Phone:787-259-4233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7781174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0029241Medicare PIN
PRE31527Medicare UPIN