Provider Demographics
NPI:1821848797
Name:RED UROLOGICA DEL CARIBE, LLC.
Entity Type:Organization
Organization Name:RED UROLOGICA DEL CARIBE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:COLON-CASANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-330-5424
Mailing Address - Street 1:MENDEZ VIGO 412
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0787
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1510 AVE FD ROOSVELT
Practice Address - Street 2:SUITE 9B-1
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-2620
Practice Address - Country:US
Practice Address - Phone:787-330-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty