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Organization

GRUPO OTORRINOLARINGOLOGICO DE PR CSP

Active
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Organization

GRUPO OTORRINOLARINGOLOGICO DE PR CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE R SANCHEZ SR. MD (PRESIDENT)
(787) 785-8981
Entity
Organization

Contact information

Practice address
1845 CARR 2 STE 105, BAYAMON MEDICAL PLAZA, BAYAMON, PR 00959-7203
(787) 785-8981
(787) 776-1511
Mailing address
BAYAMON MEDICAL PLAZA 1845 CARRETERA 2, SUITE 105, BAYAMON, PR 00959-7203
(787) 785-8981
(787) 776-1511

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
11711
PR
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
12188
PR
2085N0700X
Neuroradiology Physician
—
NULL
2085N0700X
Neuroradiology Physician
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—

Other

Enumeration date
06/26/2006
Last updated
12/01/2014
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