# PRIME UROLOGY PUERTO RICO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023846532
- **Authorized official:** DR. JERRY M ECHEVARRIA MD (PRESIDENT)
- **Authorized official phone:** (787) 222-2402

## Contact information

- **Practice address:** 12 CARR 172, CAGUAS, PR 00727-7077
- **Practice address phone:** (787) 653-0550
- **Mailing address:** PO BOX 192414, SAN JUAN, PR 00919-2414
- **Mailing address phone:** (787) 222-2402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2024
- **Last updated:** 07/25/2024