MOH PEDS OTO CSP NPI 1922343144

NPI Information

  • NPI: 1922343144
  • Provider Name: MOH PEDS OTO CSP
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 252 CALLE SAN JORGE STE 501
    SAN JORGE MEDICAL BUILDING
    SAN JUAN, PR
    ZIP 00912
  • Phone: (787) 268-2300

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NPI Details

MOH PEDS OTO CSP is a specialist in San Juan, PR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MOH PEDS OTO CSP NPI is 1922343144. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

252 CALLE SAN JORGE STE 501
SAN JORGE MEDICAL BUILDING
SAN JUAN, PR
ZIP 00912-241
Phone: (787) 268-2300
Fax: (787) 268-3055

The provider's authorized official is Melissa Ortiz Hernandez .
The authorized official title is President and has the following contact phone number (787) 268-2300.

The enumeration date for this NPI number is 11/28/2012 and was last updated on 11/28/2012.

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
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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