MEDICARE: PROFESSIONAL AUDIO SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	175	PR
2	332B00000X	Durable Medical Equipment & Medical Supplies	175	PR

General Provider Information

NPI Number	:	1457698003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL AUDIO SERVICES INC.

Provider Business Mailing Address
First Line	:	PO BOX 11164
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00910-2264
Country	:	US
Telephone Number	:	787-253-1531
Fax Number	:	787-253-1531

Provider Business Practice Location Address
First Line	:	10 AVE LAGUNA
Second Line	:	LAGUNA GARDENS SHOPPING CENTER STE 248
City	:	CAROLINA
State	:	PR
Zip	:	00979-6400
Country	:	US
Telephone Number	:	787-253-1531
Fax Number	:	787-253-1531

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	MR. SALVADOR RAMPOLLA
Credential	:	MS
Telephone Number	:	787-253-1531

Provider Enumeration Date	:	01/15/2013
Last Update Date	:	04/02/2015

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Directions to “PROFESSIONAL AUDIO SERVICES INC. ” Practice Location

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