OrganizationActive
Otologic Psc
NPI 1417095944 · Otology & Neurotology Physician · Mayaguez, PR
Provider details
- NPI number
- 1417095944
- Entity type
- Organization
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Miguel Lasalle, Dueno
- License
- 11064 (PR)
Practice location
55e De Diego St.
Suite 105, Cpr Professional Bldg.
Mayaguez, PR 00680
Phone: (787) 833-2155
Fax: (787) 833-2680
Mailing address
Po Box 6428
Mayaguez, PR 00781-6428
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.