| NPI | 1619958634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A LASALLE LOPEZ Owner 787-833-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: PR 11064) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: PR 11064) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2011-07-12 |