NPI 1417095944

Otologic Psc

Organisation Otology & Neurotology Physician Mayaguez, PR

Practice location

Address: 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

Authorised official

Name: Miguel A. Lasalle
Title: Dueno
Phone: (787) 833-2155

Registered specialties

Otology & Neurotology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0901X Licence 11064 (PR)

Other Otolaryngology providers in Puerto Rico →

Registry record

NPI: 1417095944
Entity type: Organization
NPI issued: 5 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.