CONDADO OTOLARYNGOLOGY PSC NPI 1629031331

NPI Information

  • NPI: 1629031331
  • Provider Name: CONDADO OTOLARYNGOLOGY PSC
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Organization
  • Other Name: JOSE R. DE LEON JIMENEZ
  • Address: PLAZA LAS AMERICAS
    TORRE DE PLAZA SUITE 907
    SAN JUAN, PR
    ZIP 00918
  • Phone: (787) 281-1200

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NPI Details

CONDADO OTOLARYNGOLOGY PSC is a plastic surgery within the head and neck otolaryngology in San Juan, PR. The provider is 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. CONDADO OTOLARYNGOLOGY PSC NPI is 1629031331. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Jose R. De Leon Jimenez.

The provider's business location address is:

PLAZA LAS AMERICAS
TORRE DE PLAZA SUITE 907
SAN JUAN, PR
ZIP 00918
Phone: (787) 281-1200
Fax: (787) 776-1531

The provider's authorized official is Jose R De Leon .
The authorized official title is Presidente and has the following contact phone number (787) 776-1511.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 8/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngology12876PUERTO RICONo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck12876PUERTO RICOYes

What is NPI?

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This page was last updated on: 11/21/2025

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