OTOLOGIC PSC – NPI #1417095944
Otolaryngology

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

OTOLOGIC PSC is an otolaryngologist located in MAYAGUEZ, PR. NPPES has assigned the NPI number 1417095944 to OTOLOGIC PSC on February 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207YX0901X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otology & Neurotology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OTOLOGIC PSC below.

NPI Profile for
OTOLOGIC PSC

NPI Number
1417095944
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OTOLOGIC PSC
Primary location
55E DE DIEGO ST.
SUITE 105, CPR PROFESSIONAL BLDG.
MAYAGUEZ, PR 00680
Phone: (787) 833-2155 Fax: (787) 833-2680
Mailing address
PO BOX 6428
MAYAGUEZ, PR 00781-6428
Phone: (787) 833-2155 Fax: (787) 833-2680
Organization Subpart
No
Authorized Official
MIGUEL LASALLE
DUENO
Phone: (787) 833-2155
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0901X
- Otolaryngology / Otology & Neurotology (Primary)
PR 11064

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.