Healthcare Provider Details

I. General information

NPI: 1558755256
Provider Name (Legal Business Name): JJ HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2015
Last Update Date: 03/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 AVE P A CAMPOS
AGUADILLA PR
00603-7163
US

IV. Provider business mailing address

HC 3 BOX 33074
SAN SEBASTIAN PR
00685-7537
US

V. Phone/Fax

Practice location:
  • Phone: 787-882-8585
  • Fax: 787-882-8590
Mailing address:
  • Phone: 787-882-8585
  • Fax: 787-882-8590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number1003
License Number StatePR

VIII. Authorized Official

Name: DR. JUAN A FIGUEROA
Title or Position: PRESIDENT/AUDIOLOGIST
Credential: AUD.
Phone: 787-882-8585