Provider Demographics
NPI:1497447080
Name:HCR SURGICAL P.S.C.
Entity Type:Organization
Organization Name:HCR SURGICAL P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HERIBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-772-5550
Mailing Address - Street 1:URB. SAN FRANCISCO, CALLE VIOLETA 232
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6224
Mailing Address - Country:US
Mailing Address - Phone:305-772-5550
Mailing Address - Fax:
Practice Address - Street 1:80100 CALLE FERNANDEZ JUNCOS
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-6179
Practice Address - Country:US
Practice Address - Phone:787-626-0472
Practice Address - Fax:787-626-0473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty