Healthcare Provider Details

I. General information

NPI: 1396712360
Provider Name (Legal Business Name): AUDICION Y HABLA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 12/06/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COMERIO AVE DD-8 RIVERVIEW
BAYAMON PR
00961-0000
US

IV. Provider business mailing address

100 PLAZA PRADERA STE 20 PMB # 103
TOA BAJA PR
00949-3840
US

V. Phone/Fax

Practice location:
  • Phone: 787-288-4140
  • Fax: 787-288-4125
Mailing address:
  • Phone: 787-288-4140
  • Fax: 787-288-4125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number513
License Number StatePR

VIII. Authorized Official

Name: DR. HILDA L PAGAN
Title or Position: AUDIOLOGIST/OWNER
Credential: AUD
Phone: 787-288-4140