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General NPI Number Information
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NPI Number | 1891628657
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Entity Type | Organization
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Legal Business Name | ELEVA HEARING & BALANCE INSTITUTE LLC
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | CONDOMINIO TORRE DEL METROPOLITANO SUITE 202 CARRETERA 21
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City | SAN JUAN
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State | PR
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Zip | 00921
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Country | US
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Telephone | 787-293-7485
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Fax |
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Provider Business Mailing Address
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Address Line | CONDOMINIO TORRE DEL METROPOLITANO1789 CARR 21 STE 202
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City | SAN JUAN
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State | PR
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Zip | 00921-3335
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDIBERTO RODRIGUEZ DE JESUS III
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Credential | AUD
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Telephone | 787-293-7485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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