Provider Demographics
NPI:1558007195
Name:CARIBBEAN UROLOGY LLC
Entity Type:Organization
Organization Name:CARIBBEAN UROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KERMITH
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:AYALA-MUNIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-429-5871
Mailing Address - Street 1:PO BOX 801212
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00780-1212
Mailing Address - Country:US
Mailing Address - Phone:787-429-5871
Mailing Address - Fax:
Practice Address - Street 1:TORRE SAN CRISTOBAL OFFICE 203-204
Practice Address - Street 2:CARR. 506 KM 1.0
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:787-848-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty