Provider Demographics
NPI:1598815383
Name:TECNOLOGIAS UROLOGICAS
Entity Type:Organization
Organization Name:TECNOLOGIAS UROLOGICAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGERY CORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-274-1440
Mailing Address - Street 1:PO BOX 16667
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00908-6667
Mailing Address - Country:US
Mailing Address - Phone:787-274-1440
Mailing Address - Fax:787-274-1851
Practice Address - Street 1:500 AVE DOMENECH
Practice Address - Street 2:SUITE 503
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3736
Practice Address - Country:US
Practice Address - Phone:787-274-1440
Practice Address - Fax:787-274-1851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherTAX ID