# SERVICIOS MEDICOS UROLOGIA CSP

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

## Provider details

- **NPI number:** 1285635607
- **Authorized official:** DR. BENEDICTO COLON MD (PRESIDENT)
- **Authorized official phone:** (787) 622-0704

## Contact information

- **Practice address:** BAYAMON MEDICAL PLZ, 1845 ROAD 2 STE 602, BAYAMON, PR 00959-7200
- **Practice address phone:** (787) 622-0704
- **Practice address fax:** (787) 622-0705
- **Mailing address:** PO BOX 789, BAYAMON, PR 00960-0789
- **Mailing address phone:** (787) 622-0704
- **Mailing address fax:** (787) 622-0705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 8385 | PR | Yes |

## Other

- **Enumeration date:** 08/09/2005
- **Last updated:** 06/09/2023