# RECINTO DE CIENCIAS MEDICAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Recinto de Ciencias Medicas-Endourologia y Litotripcia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376698613
- **Authorized official:** MRS. MYRIAM TROCHE RHIA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (787) 758-2525

## Contact information

- **Practice address:** CENTRO MEDICO DE PR, EDIF. PRINCIPAL ESCUELA DE MEDICINA APTDO.29134, SAN JUAN, PR 00929-0134
- **Practice address phone:** (787) 758-2525
- **Practice address fax:** (787) 274-8156
- **Mailing address:** PO BOX 29134, SAN JUAN, PR 00929-0134
- **Mailing address phone:** (787) 758-2525
- **Mailing address fax:** (787) 274-8158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 2088P0231X | Pediatric Urology Physician | — | NULL | — |
| 2088P0231X | Pediatric Urology Physician | — | — | — |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 10/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 102 | PPMI GROUP | PR |