Provider Demographics
NPI:1023980034
Name:PRECISION UROLOGY LLC
Entity type:Organization
Organization Name:PRECISION UROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTEBAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRESGALLO PARES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-238-4709
Mailing Address - Street 1:I7 CALLE EBANO APT 1201
Mailing Address - Street 2:CONDOMINIO MADRESELVA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3120
Mailing Address - Country:US
Mailing Address - Phone:787-238-4709
Mailing Address - Fax:
Practice Address - Street 1:CALLE STANLEY MILLER #3
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-954-8001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty