Provider Demographics
NPI:1720847239
Name:EARS PR, PSC
Entity Type:Organization
Organization Name:EARS PR, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LIMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESPO MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:939-370-6829
Mailing Address - Street 1:PO BOX 922
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-0922
Mailing Address - Country:US
Mailing Address - Phone:939-370-6829
Mailing Address - Fax:
Practice Address - Street 1:44 CALLE CARAZO SUITE 1-A
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:939-370-6829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty