Centro Otologico De Puerto Rico Csp is a medicare enrolled "Otolaryngology - Otology & Neurotology" provider in Mayaguez, Puerto Rico. Their current practice location is
55 Calle De Diego E, Suite 105, Mayaguez, Puerto Rico. You can reach out to their office (for appointments etc.) via phone at
(787) 833-2155.
Centro Otologico De Puerto Rico Csp is licensed to practice in Puerto Rico (license number 11064) and it also participates in the medicare program. Centro Otologico De Puerto Rico Csp
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1619958634.
Healthcare Provider's Profile
| Full Name | Centro Otologico De Puerto Rico Csp |
|---|
| Type | Facility |
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| Speciality | Otolaryngology - Otology & Neurotology |
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| Location | 55 Calle De Diego E, Mayaguez, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619958634
- Provider Enumeration Date: 11/08/2005
- Last Update Date: 07/12/2011
Medicare PECOS Information:
- PECOS PAC ID: 7719165661
- Enrollment ID: O20110624000420
Medical Identifiers
Medical identifiers for Centro Otologico De Puerto Rico Csp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619958634 | NPI | - | NPPES |
| 20192 | Other | | TRIPLES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 11064 (Puerto Rico) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | 11064 (Puerto Rico) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Centro Otologico De Puerto Rico Csp acts as a billing entity for following providers:
| Provider Name | Quetsy Cruz Feliciano |
|---|
| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1093730483
PECOS PAC ID: 8628980216
Enrollment ID: I20031103000313 |
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| Provider Name | Miguel A Lasalle Lopez |
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| Provider Type | Practitioner - Otolaryngology |
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| Provider Identifiers | NPI Number: 1699810473
PECOS PAC ID: 7214115062
Enrollment ID: I20110624000489 |
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| Provider Name | Mariella Rodriguez Rodriguez |
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| Provider Type | Practitioner - Qualified Audiologist |
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| Provider Identifiers | NPI Number: 1184086027
PECOS PAC ID: 4082991633
Enrollment ID: I20180322001470 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Centro Otologico De Puerto Rico Csp is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Centro Otologico De Puerto Rico Csp
Po Box 6428,
Mayaguez, PR 00681-6428
Ph: (787) 833-2155 | Centro Otologico De Puerto Rico Csp
55 Calle De Diego E, Suite 105,
Mayaguez, PR 00680-5078
Ph: (787) 833-2155 |
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