Provider Demographics
NPI:1598088015
Name:AUDIO ADVANCED TECHNOLOGY
Entity type:Organization
Organization Name:AUDIO ADVANCED TECHNOLOGY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:WILFREDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-961-2009
Mailing Address - Street 1:PLAZA DEGETAU
Mailing Address - Street 2:AVE. PUERTO RICO ESQUINA DEGATAU SUITE 9&10
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-4992
Mailing Address - Country:US
Mailing Address - Phone:787-961-2009
Mailing Address - Fax:787-961-2020
Practice Address - Street 1:PLAZA DEGETAU AVE.PUERTO RICO ESQUINA DEGETAU STE 9 &10
Practice Address - Street 2:PARQUE INDUSTRIAL DEL OESTE VALLE TOLIMA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0000
Practice Address - Country:US
Practice Address - Phone:787-961-2009
Practice Address - Fax:787-961-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty