Provider Demographics
NPI:1790993400
Name:CARIBBEAN URO-SURGICAL PROCEDURES PSC
Entity Type:Organization
Organization Name:CARIBBEAN URO-SURGICAL PROCEDURES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:AMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-461-7147
Mailing Address - Street 1:CAMINO LOS BAEZ
Mailing Address - Street 2:COND EL BOSQUE APT 1608
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9632
Mailing Address - Country:US
Mailing Address - Phone:787-461-7147
Mailing Address - Fax:787-812-0565
Practice Address - Street 1:CARR 21 T 3 8 LAS LOMAS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-461-7147
Practice Address - Fax:787-812-0565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty