Provider Demographics
| NPI: | 1972502276 |
|---|---|
| Name: | PRECISION HEARING CENTER INC |
| Entity type: | Organization |
| Organization Name: | PRECISION HEARING CENTER INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | IAN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | PORTELA |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 787-761-0036 |
| Mailing Address - Street 1: | PO BOX 193069 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SAN JUAN |
| Mailing Address - State: | PR |
| Mailing Address - Zip Code: | 00919-3069 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 787-761-0036 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | EDIF SAN JUAN HEALTH CENTER |
| Practice Address - Street 2: | 150 AVE DE DIEGO SUITE 105 Y SUITE 609 |
| Practice Address - City: | SAN JUAN |
| Practice Address - State: | PR |
| Practice Address - Zip Code: | 00907 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 787-724-4333 |
| Practice Address - Fax: | 787-494-2072 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2005-07-19 |
| Last Update Date: | 2023-05-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | Group - Multi-Specialty | |
| No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
| No | 111N00000X | Chiropractic Providers | Chiropractor | Group - Multi-Specialty | |
| No | 175F00000X | Other Service Providers | Naturopath | Group - Multi-Specialty | |
| No | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Group - Multi-Specialty | |
| No | 2081S0010X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Sports Medicine | Group - Multi-Specialty |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | Group - Multi-Specialty |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 231HA2400X | Speech, Language and Hearing Service Providers | Audiologist | Assistive Technology Practitioner | Group - Multi-Specialty |
| No | 231HA2500X | Speech, Language and Hearing Service Providers | Audiologist | Assistive Technology Supplier | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | Group - Multi-Specialty |
