Organization
PRACTICA INTRAMURAL DE AUDIOLOGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE ANN OWEN SC.D. (DIRECTOR)
(787) 758-2525
Entity
Organization
Contact information
Practice address
GALINDE ST. OFFICE G-12 EPS BUILDING, AUDIOLOGY PROGRAM - MEDICAL SCIENCES CAMPUS, SAN JUAN, PR 00936-5067
(787) 758-2525
(787) 765-6540
Mailing address
GALINDE ST. AUDIOLOGY PROGRAM EPS BUILDING OFFICE 403, MEDICAL SCIENCES CAMPUS UPR POBOX 365067, SAN JUAN, PR 00936-5067
(787) 758-2525
(787) 765-6540
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
529
PR
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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