Provider Demographics
NPI:1649986845
Name:OIMOS PSC
Entity type:Organization
Organization Name:OIMOS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ISMALY
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZO MATIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-904-3649
Mailing Address - Street 1:1813 BO ASOMANTE
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-2405
Mailing Address - Country:US
Mailing Address - Phone:305-904-3649
Mailing Address - Fax:
Practice Address - Street 1:94 CALLE COLON
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3115
Practice Address - Country:US
Practice Address - Phone:305-904-3649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty