Provider Demographics
NPI:1326161563
Name:INSTITUTO DE ENDOUROLOGIA Y UROLOGIA DEL NORTE, PSC
Entity Type:Organization
Organization Name:INSTITUTO DE ENDOUROLOGIA Y UROLOGIA DEL NORTE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALLENDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-880-2818
Mailing Address - Street 1:PO BOX 1845
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-1845
Mailing Address - Country:US
Mailing Address - Phone:787-880-2818
Mailing Address - Fax:787-880-2969
Practice Address - Street 1:CALLE DR. ROSES ARTAU #156
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-880-2818
Practice Address - Fax:787-880-2969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9019174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9613OtherFIRST PLUS
PR1120AOtherPMC MEDICARE CHOICE
PR601367OtherMEDICARE Y MUCHO MAS
PR06769OtherCRUZ AZUL DE PR
PR9613OtherFIRST MEDICAL INTERNATONA
PR6130076OtherHUMANA HEALT PLAN OF PR
PR=========OtherMEDICAL CARD SYSTEM
PR9613OtherFIRST PLUS
PR=========OtherMEDPLUS
PR06769OtherCRUZ AZUL DE PR
PR601367OtherMEDICARE Y MUCHO MAS
PR9613OtherFIRST MEDICAL INTERNATONA
PR=========OtherCOSVIMED