Healthcare Provider Details

I. General information

NPI: 1972727063
Provider Name (Legal Business Name): SHAHEEN MICHAEL COUNTS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10-13 AVE AGUAS BUENAS
BAYAMON PR
00959-6677
US

IV. Provider business mailing address

10-13 AVE AGUAS BUENAS
BAYAMON PR
00959-6677
US

V. Phone/Fax

Practice location:
  • Phone: 939-353-8284
  • Fax:
Mailing address:
  • Phone: 939-353-8284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA122136
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License NumberA122136
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number24174
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: