Healthcare Provider Details

I. General information

NPI: 1609939982
Provider Name (Legal Business Name): AUDIOLOGOS ASOCIADOS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 AVE DOMENECH LAS AMERICAS PROFESSIONAL CENTER OF. 206
SAN JUAN PR
00918-3710
US

IV. Provider business mailing address

400 AVE DOMENECH LAS AMERICAS PROFESSIONAL CENTER OF. 206
SAN JUAN PR
00918-3710
US

V. Phone/Fax

Practice location:
  • Phone: 787-250-7471
  • Fax: 787-756-7471
Mailing address:
  • Phone: 787-250-7471
  • Fax: 787-756-7471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. LOURDES ELIZABETH SUAREZ
Title or Position: OFFICE MANAGER
Credential: DML
Phone: 787-250-7471