# EASTERN UROLOGY PSC

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

## Provider details

- **NPI number:** 1376214890
- **Authorized official:** FERNANDO L ROSARIO FELICIANO (CPA)
- **Authorized official phone:** (787) 344-1797

## Contact information

- **Practice address:** 49 CALLE ACOSTA, CAGUAS, PR 00725-3578
- **Practice address phone:** (787) 344-1797
- **Mailing address:** 49 CALLE ACOSTA, CAGUAS, PR 00725-3578

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2021
- **Last updated:** 09/23/2021