# APCG UROLOGY C S P

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

## Provider details

- **NPI number:** 1285777326
- **Authorized official:** DR. ALBERTO CORICA GUINLE M.D. (ADMINISTRATOR)
- **Authorized official phone:** (787) 866-3355

## Contact information

- **Practice address:** HOSPITAL EPISCOPAL CRISTO REDENTOR, AVE. PEDRO ALBIZU CAMPOS URB. LA HACIENDA, GUAYAMA, PR 00784
- **Practice address phone:** (787) 864-4300
- **Practice address fax:** (787) 864-6488
- **Mailing address:** P.O.BOX 2908, GUAYAMA, PR 00784
- **Mailing address phone:** (787) 864-4300
- **Mailing address fax:** (787) 864-6488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 14585 | PR | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 11/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 207045 | UTI PROVDIERNUMBER | PR |
| 01 | — | 21089 | SSS PROVIDER NUMBER | PR |
| 01 | — | 2721 | PREFERRED CHOICE | PR |
| 01 | — | 7850017 | HUMANA INSURANCE | PR |
| 01 | — | 9824 | INTERNATIONAL MEDICAL CAR | PR |