Provider Demographics
NPI:1376850677
Name:UROLOGY CARE LLC
Entity Type:Organization
Organization Name:UROLOGY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DE LA ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-767-7614
Mailing Address - Street 1:PMB 747
Mailing Address - Street 2:1353 RD 19
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-0000
Mailing Address - Country:US
Mailing Address - Phone:787-767-7614
Mailing Address - Fax:
Practice Address - Street 1:369 DE DIEGO
Practice Address - Street 2:TORRE SAN FRANCISCO SUITE 207
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-0025
Practice Address - Country:US
Practice Address - Phone:787-767-7614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15439208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty