PRENTA PUERTO RICO EAR NOSE AND THROAT AFFILATES GRP LLC (NPI# 1972002277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972002277 |
| Entity Type | Organization |
| Organization Name | PRENTA PUERTO RICO EAR NOSE AND THROAT AFFILATES GRP LLC |
| Practice Address |
252 Calle San Jorge Ste 501 San Juan PR 00912-3241 |
| Mailing Address |
Po Box 362707 San Juan PR 00936-2707 |
| Practice Telephone | 7872682300 |
| Practice Fax Number | 7872683055 |
| Mailing Telephone | 7872682300 |
| Mailing Fax Number | 7872683055 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| Authorized Official Name | DR. CARLOS GONZALEZ-AQUINO (MEMBER) |
| Authorized Official Telephone | 7872682300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
252 CALLE SAN JORGE STE 501 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00912-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343144 | Moh Peds Oto Csp | Specialist | 252 Calle San Jorge Ste 501, San Jorge Medical Building, San Juan, PR 00912-3241 | 2012-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860869 | Lismary Colon Matias | Speech-Language Pathologist | Avenida Ponce De Leon #1607, Cobian's Plaza Building, San Juan, PR 00912 | 2020-10-27 |
| 1972126258 | Neuropedeegpr LLC | Physiological Laboratory | Calle San Jorge #258 San Jorge Medical Building Suite 3, Santurce, PR 00912 | 2020-05-21 |
| 1801415047 | Racc | Surgery | #373 Calle San Jorge, Piso#2, Santurce, PR 00912 | 2020-04-08 |
| 1588299333 | Yanelis Perez Pina | Registered Nurse | 1600 Ave De La Constitucion, San Juan, PR 00912 | 2020-03-11 |
| 1558919233 | Aura Colon Rivera | Psychologist | Calle San Jorge, 258, San Juan, PR 00912 | 2019-08-27 |
| 1467923276 | Zuleika Montanez | Registered Nurse | 1600 Avenida Juan Ponce De Leon, San Juan, PR 00912 | 2018-12-06 |
| 1528584232 | Indhira M Rivas | Psychologist | 1551 Calle Victoria Santurce, San Juan, PR 00912 | 2017-08-15 |
| 1881146728 | Sebastian Cambo | Psychologist | 1801 Ave Ponce De Leon Suite 411, Santurce Medical Mall, San Juan, PR 00912 | 2016-10-26 |
| 1528430816 | Abner Martinez | Pharmacist | Calle Labra Esquina Corchado Parada 18, San Juan, PR 00912 | 2015-10-26 |
| 1609282300 | Mariola Llinas Messeguer | Obstetrics & Gynecology | 252 San Jorge Medical Building, Suite 405, Santurce, PR 00912 | 2014-07-02 |
| Find all providers in zip 00912 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982124145 | Jpm Ent Surgical LLC | Otolaryngology | Avenida Ashford #1451, San Juan, PR 00902 | 2017-06-20 |
| 1346654324 | Gary G Montalvo Petrovich LLC | Otolaryngology | 400 Ave Domenech Ste 506, Las Americas Prof Center, San Juan, PR 00918-0000 | 2014-06-17 |
| 1912326752 | Gabriel Hernandez Martin | Otolaryngology | Ashford Medical Tower Suite 805, 29 Washington Street, San Juan, PR 00907 | 2014-04-09 |
| 1306265269 | Shayanne Alexander Lajud Guerrero | Otolaryngology | Oto Hns School of Medicine, Suite A972 Main Bldg Recinto Ciencias Medicas, San Juan, PR 00935 | 2014-04-08 |
| 1093132920 | Prnsi LLC | Otolaryngology | 299 Pinero Avenue, Urb Hyde Park, San Juan, PR 00927-3900 | 2014-03-28 |
| 1710326723 | Mariana Judith Ortiz Martinez | Otolaryngology | 1789 Carretera 21, Torre Hospital Metropolitano Suite 309, San Juan, PR 00921 | 2013-06-24 |
| 1750512604 | Javier Gonzalez | Otolaryngology | 888 Ave Ashford, Apt 9, San Juan, PR 00907-1007 | 2009-07-27 |
| 1568657930 | Paulette C. Pacheco-lopez | Otolaryngology | 3950 Carr 176, Garden Valley Club Apt 108, San Juan, PR 00926-6737 | 2007-09-10 |
| 1790844348 | Jose M Bird | Otolaryngology | Cond. Torre De Auxilio Mutuo, Suite 711 Ave. Ponce De Leon # 735, San Juan, PR 00917-5030 | 2006-12-08 |
| 1104910793 | Jog Otolaryngology Services Csp | Otolaryngology | 29 Washington Suite 105, Ashford Medical Center, San Juan, PR 00907 | 2006-10-03 |
| Find all providers in SAN JUAN | ||||
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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.