Organization
OTOLOGIC PSC
Active
Organization
OTOLOGIC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A. LASALLE MD (DUENO)
(787) 833-2155
Entity
Organization
Contact information
Practice address
55E DE DIEGO ST., SUITE 105, CPR PROFESSIONAL BLDG., MAYAGUEZ, PR 00680
(787) 833-2155
(787) 833-2680
Mailing address
PO BOX 6428, MAYAGUEZ, PR 00781-6428
(787) 833-2155
(787) 833-2680
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
11064
PR
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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