Provider Demographics
NPI:1861428096
Name:CLINICA DE REHABILITACION AUDITIVA AUDIOFONOS PSC
Entity type:Organization
Organization Name:CLINICA DE REHABILITACION AUDITIVA AUDIOFONOS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-740-4444
Mailing Address - Street 1:URB. SANTA ROSA
Mailing Address - Street 2:CARR. 174 BLOQUE 21-27
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-5908
Mailing Address - Country:US
Mailing Address - Phone:787-740-4444
Mailing Address - Fax:787-740-4440
Practice Address - Street 1:URB. SANTA ROSA
Practice Address - Street 2:CARR. 174 BLOQUE 21-27
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-740-4444
Practice Address - Fax:787-740-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR559, 560231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRHC396AOtherPTAN/OSCAR/LEGACY