Provider Demographics
NPI:1275892903
Name:UROLOGOS DEL CARIBE
Entity Type:Organization
Organization Name:UROLOGOS DEL CARIBE
Other - Org Name:UROLOGOS DEL CARIBE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORTIZ-CEREZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-309-9747
Mailing Address - Street 1:PO BOX 21078
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00928-1078
Mailing Address - Country:US
Mailing Address - Phone:787-309-0747
Mailing Address - Fax:787-764-8109
Practice Address - Street 1:ARZUAGA 112 OFICE 701
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00928-2107
Practice Address - Country:US
Practice Address - Phone:787-758-0555
Practice Address - Fax:787-761-0944
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6847174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty