# AMBULATORY UROLOGY SURGICAL CENTER

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

## Provider details

- **NPI number:** 1326478140
- **Authorized official:** DR. ALBERTO P CORICA M.D. (PRESIDENT)
- **Authorized official phone:** (787) 866-3355

## Contact information

- **Practice address:** 2435 BLVD LUIS A FERRE, PONCE, PR 00717-2112
- **Practice address phone:** (787) 866-3355
- **Practice address fax:** (787) 709-4730
- **Mailing address:** 2435 BLVD LUIS A FERRE, PONCE, PR 00717-2112
- **Mailing address phone:** (787) 866-3355
- **Mailing address fax:** (787) 709-4730

## Taxonomy

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

## Other

- **Enumeration date:** 11/14/2013
- **Last updated:** 11/14/2013