Healthcare Provider Details

I. General information

NPI: 1982716155
Provider Name (Legal Business Name): MARIA SUREDA PLAZA MS-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HEARING TEC 1110 AVE FRANKLIN DELANO ROOSEVELT
SAN JUAN PR
00920
US

IV. Provider business mailing address

HEARING TEC 1110 AVE FRANKLIN DELANO ROOSEVELT
SAN JUAN PR
00920
US

V. Phone/Fax

Practice location:
  • Phone: 787-707-1589
  • Fax:
Mailing address:
  • Phone: 787-707-1589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number000531
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: