Provider Demographics
NPI: | 1154633162 |
---|---|
Name: | HEARING TEC |
Entity type: | Organization |
Organization Name: | HEARING TEC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | RAFAEL |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | PRATS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BC-HIS |
Authorized Official - Phone: | 787-707-1589 |
Mailing Address - Street 1: | CENTRAL PLAZA 1645 AVE. PINERO |
Mailing Address - Street 2: | |
Mailing Address - City: | SAN JUAN |
Mailing Address - State: | PR |
Mailing Address - Zip Code: | 00920 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 787-707-1589 |
Mailing Address - Fax: | |
Practice Address - Street 1: | CENTRAL PLAZA 1645 AVE. PINERO |
Practice Address - Street 2: | |
Practice Address - City: | SAN JUAN |
Practice Address - State: | PR |
Practice Address - Zip Code: | 00920 |
Practice Address - Country: | US |
Practice Address - Phone: | 787-707-1589 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-07-07 |
Last Update Date: | 2010-07-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PR | 531 | 237600000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | Group - Single Specialty |