CONDADO OTOLARYNGOLOGY PSC
CONDADO OTOLARYNGOLOGY PSC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1629031331, based in San Juan, PR. The organization lists 2 taxonomy classifications, with Plastic Surgery within the Head & Neck (Otolaryngology) Physician recorded as primary.
Getting there
The practice address on file is PLAZA LAS AMERICAS TORRE DE PLAZA SUITE 907, San Juan, PR 00918. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 12876 | PR | Otolaryngology Physician |
| 12876 | PR | Plastic Surgery within the Head & Neck… primary |
This provider holds licence 12876 issued in PR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3476622457
- Enrollment ID
- O20080811000506
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Plastic Surgery within the Head & Neck covers
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. NUCC Health Care Provider Taxonomy, code 207YX0007X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology Physician | 12876 | PR | |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician Plastic Surgery within the Head & Neck | 12876 | PR | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1629031331 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 11, 2006 |
| Last updated | Aug 30, 2022 |
| Status | Active |
| Practice address |
PLAZA LAS AMERICAS TORRE DE PLAZA SUITE 907 San Juan, PR 00918 (787) 281-1200 Fax (787) 776-1531 |
| Mailing address |
1357 AVENIDA ASHFORD PBM 428 San Juan, PR 00907 |
| Other names |
Jose R. De Leon Jimenez Other Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 2 | 9 | 0 | 3 | 1 | 3 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 4 | 9 | 0 | 3 | 2 | 3 | 6 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.