Provider Demographics
NPI:1669895553
Name:RRQ UROLOGICAL INSTITUTE, PSC
Entity type:Organization
Organization Name:RRQ UROLOGICAL INSTITUTE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:RUIZ-QUIJANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-780-6392
Mailing Address - Street 1:550 AVE CONSTITUCION
Mailing Address - Street 2:COND. MILLENIUM APT. 601
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-2321
Mailing Address - Country:US
Mailing Address - Phone:787-780-6392
Mailing Address - Fax:787-780-6370
Practice Address - Street 1:BAYAMON MEDICAL PLAZA SUITE 908
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-7206
Practice Address - Country:US
Practice Address - Phone:787-780-6392
Practice Address - Fax:787-780-6370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty