MEDICARE: O.S. AUDIOLOGY SERVICES, INC.

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	546	PR

General Provider Information

NPI Number	:	1891090627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O.S. AUDIOLOGY SERVICES, INC.

Provider Business Mailing Address
First Line	:	56 CALLE JOSE MARTI
Second Line	:	URB. FLORAL PARK
City	:	SAN JUAN
State	:	PR
Zip	:	00918-1813
Country	:	US
Telephone Number	:	787-759-7878
Fax Number	:

Provider Business Practice Location Address
First Line	:	56 CALLE JOSE MARTI
Second Line	:	URB. FLORAL PARK
City	:	SAN JUAN
State	:	PR
Zip	:	00918-1813
Country	:	US
Telephone Number	:	787-759-7878
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR-AUDIOLOGIST
Name	:	DR. NERIBELLE DIAZ-COLON
Credential	:	AU.D.
Telephone Number	:	787-759-7878

Provider Enumeration Date	:	01/26/2011
Last Update Date	:	01/26/2011

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