Provider Demographics
NPI:1457698003
Name:PROFESSIONAL AUDIO SERVICES INC.
Entity Type:Organization
Organization Name:PROFESSIONAL AUDIO SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SALVADOR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMPOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:787-253-1531
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:787-253-1531
Practice Address - Street 1:10 AVE LAGUNA
Practice Address - Street 2:LAGUNA GARDENS SHOPPING CENTER STE 248
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-6400
Practice Address - Country:US
Practice Address - Phone:787-253-1531
Practice Address - Fax:787-253-1531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR175332B00000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6-4040Medicare PIN