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Contact Information

JOG OTOLARYNGOLOGY SERVICES CSP
29 WASHINGTON SUITE 105
ASHFORD MEDICAL CENTER
SAN JUAN, PR00907
 Phone: 787-725-5628
 Fax: 787-722-0513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JOG OTOLARYNGOLOGY SERVICES CSP

NPI # 1104910793
LBN Legal business name JOG OTOLARYNGOLOGY SERVICES CSP
Authorized official JOSE OTERO GARCIA - (MD)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
PR License # 12317
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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