Provider Demographics
NPI:1205931649
Name:UROTECH, INC.
Entity type:Organization
Organization Name:UROTECH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-253-3694
Mailing Address - Street 1:PMB 608, 497 AVE. E. POL
Mailing Address - Street 2:LAS CUMBRES
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5639
Mailing Address - Country:US
Mailing Address - Phone:787-253-3694
Mailing Address - Fax:787-791-8492
Practice Address - Street 1:LAGUNA GARDENS SHOPPING CENTER, AVE. LAGUNA
Practice Address - Street 2:SUITE 261
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979
Practice Address - Country:US
Practice Address - Phone:787-253-3694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3159332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR90002168OtherLA CRUZ AZUL DE PR
PR926-0342OtherHUMANA HEALTH PLAN
PR7-5560OtherTRIPLE S