CENTRO OTOLOGICO DE PUERTO RICO CSP – NPI #1619958634
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.

CENTRO OTOLOGICO DE PUERTO RICO CSP is an otolaryngologist located in MAYAGUEZ, PR. NPPES has assigned the NPI number 1619958634 to CENTRO OTOLOGICO DE PUERTO RICO CSP on November 08, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 15 years ago on Jul 12, 2011. 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 CENTRO OTOLOGICO DE PUERTO RICO CSP below.

NPI Profile for
CENTRO OTOLOGICO DE PUERTO RICO CSP

NPI Number
1619958634
Enumeration Date

(more than 20 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
CENTRO OTOLOGICO DE PUERTO RICO CSP
Primary location
55 CALLE DE DIEGO E
SUITE 105
MAYAGUEZ, PR 00680-5078
Phone: (787) 833-2155 Fax: (787) 833-2680
Mailing address
PO BOX 6428
MAYAGUEZ, PR 00681-6428
Phone: (787) 833-2155 Fax: (787) 833-2680
Organization Subpart
No
Authorized Official
MIGUEL LASALLE LOPEZ
OWNER
Phone: (787) 833-2155
Updated
Identifiers

Identifiers for CENTRO OTOLOGICO DE PUERTO RICO CSP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERTRIPLES20192
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
231H00000X
- Audiologist
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.