Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Otologic PSC

Organization Otology & Neurotology Physician · NPI 1417095944

Otologic PSC is an Otology & Neurotology Physician in Mayaguez, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2007.

Licensed in
PR
In the registry since
2007
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

55E De Diego St Ste 105 Cpr Professional Bldg
Mayaguez, PR 00680
Phone: (787) 833-2155
Fax: (787) 833-2680

Specialties & licences

Otology & Neurotology Physician (primary) Taxonomy 207YX0901X · Licence 11064 (PR)

Record details

NPI number1417095944
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miguel Lasalle — Dueno · (787) 833-2155
NPI enumeratedFebruary 5, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 6428, Mayaguez, PR 00781-6428

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