Provider Demographics
NPI:1538502943
Name:RRQ UROLOGICAL INSTITUTE PSC
Entity Type:Organization
Organization Name:RRQ UROLOGICAL INSTITUTE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ-QUIJANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-374-6500
Mailing Address - Street 1:550 AVE DE LA CONSTITUCION APT 601
Mailing Address - Street 2:COND. MILLENNIUM
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-2314
Mailing Address - Country:US
Mailing Address - Phone:787-798-7751
Mailing Address - Fax:787-780-6370
Practice Address - Street 1:BAYAMON MEDICAL PLAZA
Practice Address - Street 2:SUITE 908
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00901-2314
Practice Address - Country:US
Practice Address - Phone:787-798-7751
Practice Address - Fax:787-780-6370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty