Provider Demographics
NPI:1891125373
Name:UROLOGY AMBULATORY SURGICAL CENTER
Entity Type:Organization
Organization Name:UROLOGY AMBULATORY SURGICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:CORICA
Authorized Official - Last Name:GUINLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-314-6821
Mailing Address - Street 1:PO BOX 2908
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-2908
Mailing Address - Country:US
Mailing Address - Phone:787-866-3355
Mailing Address - Fax:787-905-7288
Practice Address - Street 1:AVENIDA LAS AMERICAS
Practice Address - Street 2:HOSPITAL DR. PILA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:787-848-6910
Practice Address - Fax:787-709-4730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR014585261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical