# PRENTA PUERTO RICO EAR NOSE AND THROAT AFFILATES GRP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972002277
- **Authorized official:** DR. CARLOS GONZALEZ-AQUINO MD (MEMBER)
- **Authorized official phone:** (787) 268-2300

## Contact information

- **Practice address:** 252 CALLE SAN JORGE STE 501, SAN JUAN, PR 00912-3241
- **Practice address phone:** (787) 268-2300
- **Practice address fax:** (787) 268-3055
- **Mailing address:** PO BOX 362707, SAN JUAN, PR 00936-2707
- **Mailing address phone:** (787) 268-2300
- **Mailing address fax:** (787) 268-3055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 02/02/2018