Provider Demographics
NPI:1306185483
Name:UROLOGIA ONCE, PSC
Entity Type:Organization
Organization Name:UROLOGIA ONCE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ-HUERTAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-680-7525
Mailing Address - Street 1:100 PASEO SAN PABLO SUITE 406
Mailing Address - Street 2:EDIFICIO ARTURO CADILLA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7028
Mailing Address - Country:US
Mailing Address - Phone:787-680-7525
Mailing Address - Fax:787-680-7526
Practice Address - Street 1:100 PASEO SAN PABLO SUITE 406
Practice Address - Street 2:EDIFICIO ARTURO CADILLA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7028
Practice Address - Country:US
Practice Address - Phone:787-680-7525
Practice Address - Fax:787-680-7526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15906208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty