# GRUPO OTORRINOLARINGOLOGICO DE PR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740326677
- **Authorized official:** DR. JOSE R SANCHEZ MENDIOLA M.D. (ADMINISTRATOR)
- **Authorized official phone:** (787) 785-8981

## Contact information

- **Practice address:** PLAZA CAROLINA MALL, SUITE 11, CAROLINA, PR 00983
- **Practice address phone:** (787) 776-1511
- **Practice address fax:** (787) 776-1531
- **Mailing address:** BAYAMON MEDICAL PLAZA, SUITE 105, BAYAMON, PR 00956
- **Mailing address phone:** (787) 785-8981
- **Mailing address fax:** (787) 780-4866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020