Organization
PRIME OTOLARYNGOLOGY SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISETTE YVONNE PEREZ M.D. (PRESIDENT)
(787) 706-4334
Entity
Organization
Contact information
Practice address
1510 AVE F.D. ROOSEVELT, MEZZANINE SUITE B, GUAYNABO, PR 00968-2602
(787) 706-4334
(787) 749-0993
Mailing address
PO BOX 1036, GUAYNABO, PR 00970-1036
(787) 706-4334
(787) 749-0993
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
11652
PR
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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