GRUPO OTORRINOLARINGOLOGICO DE PR (NPI# 1740326677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740326677 |
| Entity Type | Organization |
| Organization Name | GRUPO OTORRINOLARINGOLOGICO DE PR |
| Practice Address |
Plaza Carolina Mall Suite 11 Carolina PR 00983 |
| Mailing Address |
Bayamon Medical Plaza Suite 105 Bayamon PR 00956 |
| Practice Telephone | 7877761511 |
| Practice Fax Number | 7877761531 |
| Mailing Telephone | 7877858981 |
| Mailing Fax Number | 7877804866 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSE R SANCHEZ MENDIOLA (ADMINISTRATOR) |
| Authorized Official Telephone | 7877858981 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians |
| Street Address |
PLAZA CAROLINA MALL SUITE 11 |
| City | CAROLINA |
| State | PR |
| Zip Code | 00983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366420960 | Carmen Liliana Cruz | Dermatology | Plaza Carolina Mall, Tercer Nivel Ste 10, Carolina, PR 00988 | 2006-01-04 |
| 1407974546 | Ivonne Z Jimenez-velazquez | Internal Medicine | Plaza Carolina Mall, Suite # 31, Carolina, PR 00983 | 2007-03-27 |
| 1306876875 | Marcelino Espada | Pediatrics | Plaza Carolina Mall, Suite 7, Carolina, PR 00988 | 2006-07-03 |
| 1376506071 | Jose Ricardo De Leon-jimenez | Otolaryngology | Plaza Carolina Mall, Tercer Nivel Suite 11, Carolina, PR 00983 | 2006-04-11 |
| 1629031331 | Condado Otolaryngology Psc | Otolaryngology | Plaza Carolina Mall, Suite 11 Tercer Nivel, Carolina, PR 00983 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548522 | Barakah Two Thousands Drug LLC | Pharmacy | Ave Campo Rico, Esq Ave Fidalgo Diaz, Sabana Gardens, Carolina, PR 00983 | 2020-11-04 |
| 1255945598 | Jessica Carrion | Physical Medicine & Rehabilitation | Via 16 Villa Fontana, Jr 8, Carolina, PR 00983 | 2020-09-03 |
| 1184233298 | Kassandra Velez | Physical Medicine & Rehabilitation | Villa Fontana Via 16, Jr 8, Carolina, PR 00983 | 2020-07-24 |
| 1639794159 | Jannelle Feliciano | Psychologist | Avenida Fidalgo Diaz, #cl3 Via Emilia, Villa Fontana, Carolina, PR 00983 | 2020-06-10 |
| 1972143113 | Yarissa M Tolentino Felix | Counselor | Universidad Ana G. Mendez, Edificio Kingbird Innovation Center Suite 4, Carolina, PR 00983 | 2020-01-15 |
| 1295374189 | Rey Jose Santiago-crespo | Pharmacist | 65th Infantry/jesus Fragoso, Carolina, PR 00983 | 2019-12-26 |
| 1598301814 | Dayana Marie Santiago Tristani | Pharmacist | 65 Infanteria & Avenida Fragoso, Carolina, PR 00983 | 2019-11-21 |
| 1578111043 | Shalem Consumer Brands | Eyewear Supplier (Equipment, not the service) | Avenida JesÚs M. Fragoso, Carolina, PR 00983 | 2019-08-28 |
| 1366098766 | Jeremy Swan Rodriguez Camejo | Psychologist | Bf21 Calle 110, Jardines De Country Club, Carolina, PR 00983 | 2019-08-13 |
| 1750849287 | Pro Audiology Solutions, LLC | Clinic/Center | Urbanizacion Villa Fontana, 2al Calle 6 114 Via 6, Carolina, PR 00983 | 2019-03-04 |
| Find all providers in zip 00983 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717247 | Edgar E Domenech Fagundo | Otolaryngology | Torre Medica San Lucas, Ave. Tito Castro 917, Suite 618, Ponce, PR 00730 | 2006-11-16 |
| 1568565547 | Recinto De Ciencias Medicas | Otolaryngology | Ave.americo Miranda Centro Medico De Pr Edif. Principal, Escuela De Medicina Aptdo.29134, San Juan, PR 00936-0134 | 2006-09-06 |
| 1902914807 | Benjamin Rodriguez Jr. | Otolaryngology | Manati Medical Plaza, Suite 205, Manati, PR 00674 | 2006-08-29 |
| 1508874876 | Jose I Almodovar - Laborde | Otolaryngology | Carr. 2 Km 174.0, San German Medical Plaza Suite 207, San German, PR 00683-9340 | 2006-08-03 |
| 1275591489 | Roberto Gonzalez Gonzalez | Otolaryngology | Salud Ave. #1326, Suite 511, Ponce, PR 00717-1689 | 2006-05-04 |
| 1952300600 | Francisco R Suarez Lozada | Otolaryngology | 27 Calle Nelson Perea, Edificio Doctors Center Suite 102, Mayaguez, PR 00680-4949 | 2005-07-15 |
| 1891104188 | Southwest Oto and Head & Neck Surgery,psc | Otolaryngology | Torre Med San Lucas, Ave. Tito Castro, Ponce, PR 00716-4728 | 2014-08-12 |
| 1104987437 | Pablo M Lopez-baez | Otolaryngology | Santa Rosa Mall, 202a, Bayamon, PR 00959 | 2006-12-12 |
| 1952378341 | Jose R Sanchez-mendiola Sr. | Otolaryngology | Bayamon Medical Plaza, Suite 105, Bayamon, PR 00960 | 2006-03-03 |
| 1407820657 | Luis E Valledor Maeso Sr. | Otolaryngology | Bayamon Medical Plaza, Suite 105, Bayamon, PR 00960 | 2006-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.