# CLINICA INTEGRAL DE OTORRINOLARINGOLOGIA CRL

> 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:** 1972204055
- **Authorized official:** GABRIEL HERNANDEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 653-9919

## Contact information

- **Practice address:** 1452 AVENIDA ASHFORD, EDIFICIO ADALIGIA SUITE 1, SAN JUAN, PR 00907-1556
- **Practice address phone:** (787) 653-9919
- **Mailing address:** PO BOX 362278, SAN JUAN, PR 00936-2278
- **Mailing address phone:** (787) 653-9919

## Taxonomy

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

## Other

- **Enumeration date:** 03/15/2023
- **Last updated:** 03/15/2023