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CENTRO OTOLOGICO DE PUERTO RICO CSP
NPI 1619958634
Otolaryngology - Otology & Neurotology in Mayaguez, PR

Active since November 08, 2005
55 CALLE DE DIEGO E, SUITE 105, MAYAGUEZ, PR 00680(787) 833-2155(787) 833-2680 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Centro Otologico De Puerto Rico Csp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRO OTOLOGICO DE PUERTO RICO CSP (NPI 1619958634) is a healthcare organization registered as an otology & neurotology in Mayaguez, Puerto Rico and active in the NPI registry since November 2005. The organization lists Miguel A Lasalle Lopez, Owner, as its authorized official.

NPPES Registry Identity

NPI1619958634
Entity TypeOrganization
Primary Taxonomy207YX0901X
Legal Business NameCENTRO OTOLOGICO DE PUERTO RICO CSP
Location Address55 CALLE DE DIEGO E, SUITE 105Mayaguez, PR 00680-5078
Mailing AddressPo Box 6428Mayaguez, PR 00681-6428 · (787) 833-2155 · Fax (787) 833-2680
Phone(787) 833-2155
Fax(787) 833-2680
Organization SubpartNo
Authorized OfficialMiguel A Lasalle LopezOwner · (787) 833-2155
Enumeration DateNovember 8, 2005
Last NPPES UpdateJuly 12, 2011
✔ NPI 1619958634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in PR · 11064
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
Also ListedAudiologistTaxonomy 231H00000X · License 11064 (PR)
55 CALLE DE DIEGO E, Mayaguez, PR 00680
Open in Google Maps ↗

Other Identifiers 2

Other20192Triples
Medicare ID-Type Unspecified20154

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centro Otologico De Puerto Rico Csp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Centro Otologico De Puerto Rico Csp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Quetsy Cruz Feliciano, A.U.D.
Qualified Audiologist
NPI 1093730483
CALLE DE DIEGO E # 55 SUITE 105
Mayaguez, PR 00680
(787) 833-2155
Same address
Miguel Lasalle Lopez, MD
Otolaryngology
NPI 1699810473
55 E DE DIEGO ST SUITE 105 CPR PROFESSIONAL BLDG
Mayaguez, PR 00680
(787) 833-2155
✔ PECOS✔ Accepts Medicare2.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centro Otologico De Puerto Rico Csp's NPI number?

The NPI number for Centro Otologico De Puerto Rico Csp is 1619958634. It was assigned to this organization in the NPPES registry on November 8, 2005.

Where is Centro Otologico De Puerto Rico Csp located?

Centro Otologico De Puerto Rico Csp is located at 55 Calle De Diego E Suite 105, Mayaguez, PR 00680. The listed phone number is (787) 833-2155.

What is Centro Otologico De Puerto Rico Csp's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Centro Otologico De Puerto Rico Csp enrolled in Medicare?

Yes. Centro Otologico De Puerto Rico Csp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centro Otologico De Puerto Rico Csp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Centro Otologico De Puerto Rico Csp, in Otolaryngology and Qualified Audiologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centro Otologico De Puerto Rico Csp was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.