MEDICARE: AUDIFONOS AUDIO CENTRO 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	237600000X	Audiologist-Hearing Aid Fitter	508	PR

General Provider Information

NPI Number	:	1902966948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDIFONOS AUDIO CENTRO INC

Provider Business Mailing Address
First Line	:	PO BOX 11927
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00922-1927
Country	:	US
Telephone Number	:	787-781-3055
Fax Number	:	787-781-4008

Provider Business Practice Location Address
First Line	:	356 CALLE ENSENADA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00920-3501
Country	:	US
Telephone Number	:	787-781-3055
Fax Number	:	787-781-4008

Authorized Official
Title or Position	:	MANAGER
Name	:	RAQUEL MARTINEZ
Credential	:
Telephone Number	:	787-781-3055

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	01/14/2026

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