Condado Otolaryngology PSC
NPI 1629031331ActiveOrganization· Otolaryngology, Plastic Surgery within the Head & Neck· San Juan, PR
Otolaryngology, Plastic Surgery within the Head & Neck in San Juan, Puerto Rico, registered in NPPES in April 2006. The authorized official on file is Jose R. De Leon, MD, Presidente. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629031331 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2006 |
| Last updated in NPPES | Aug 30, 2022 |
| Certified by provider | Aug 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology, Plastic Surgery within the Head & Neck Primary | 207YX0007X | 12876 | PR |
| Otolaryngology | 207Y00000X | 12876 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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