=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144183682
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRADISE AUDIOLOGY & BALANCE CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/03/2025
-----------------------------------------------------
Last Update Date | 12/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 200 CALLE HERNANDEZ CARRION STE 4302
-----------------------------------------------------
City | MANATI
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00674-4689
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-206-5942
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | COVE BY THE SEA APT 501
-----------------------------------------------------
City | VEGA ALTA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00692-8732
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-206-5942
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | DR. JOSE ANTONIO PINEIRO SALGADO
-----------------------------------------------------
Credential | AUDIOLOGY
-----------------------------------------------------
Telephone | 787-206-5942
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------