Healthcare Provider Details
I. General information
NPI: 1144183682
Provider Name (Legal Business Name): PRADISE AUDIOLOGY & BALANCE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/03/2025
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 PASEO SAN PABLO EDIFICIO DOCTOR ARTURO CADILLA VINAS OFICINA 412
BAYAMON PR
00961-7028
US
IV. Provider business mailing address
COVE BY THE SEA APT 501
VEGA ALTA PR
00692-8732
US
V. Phone/Fax
- Phone: 787-395-3333
- Fax: 787-395-3335
- Phone: 787-395-3333
- Fax: 787-395-3335
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSE
ANTONIO
PINEIRO SALGADO
Title or Position: MD
Credential: AUDIOLOGY
Phone: 787-206-5942