MEDICARE: VYLSA E MARRERO SANCHEZ AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	00524	PR
2	231HA2400X	Assistive Technology Practitioner Audiologist	00524	PR
3	231HA2500X	Assistive Technology Supplier Audiologist	00524	PR
4	237600000X	Audiologist-Hearing Aid Fitter	00524	PR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	998189	OTHER	PR	MEDICARE MUCHO MAS-MMM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	9650041	OTHER	PR	HUMANA HEALTH PLAN

General Provider Information

NPI Number	:	1003884032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VYLSA E MARRERO SANCHEZ AUD

Provider Business Mailing Address
First Line	:	PO BOX 3469
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00970-3469
Country	:	US
Telephone Number	:	787-790-2130
Fax Number	:	787-778-7439

Provider Business Practice Location Address
First Line	:	652 AVE SAN PATRICIO
Second Line	:	SUMMIT HILLS
City	:	SAN JUAN
State	:	PR
Zip	:	00920-4509
Country	:	US
Telephone Number	:	787-792-0635
Fax Number	:	787-792-0635

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	03/31/2025

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Directions to “ VYLSA E MARRERO SANCHEZ AUD” Practice Location

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