Healthcare Provider Details

I. General information

NPI: 1487413373
Provider Name (Legal Business Name): HEARING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2024
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 AVE PONCE DE LEON TORRE AUXILIO MUTUO #214
SAN JUAN PR
00917
US

IV. Provider business mailing address

PO BOX 364792
SAN JUAN PR
00936-4792
US

V. Phone/Fax

Practice location:
  • Phone: 787-766-1900
  • Fax:
Mailing address:
  • Phone: 787-766-1900
  • Fax: 787-766-2057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OMAR A GONZALEZ YANES
Title or Position: MEDICAL DIRECTOR
Credential: MD, FACS
Phone: 787-766-1900