# CENTRO UROLOGICO DEL OESTE

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

## Provider details

- **NPI number:** 1396877619
- **Authorized official:** DR. JUAN R ITURREGUI-PAGAN M.D. (PRESIDENT)
- **Authorized official phone:** (787) 833-6295

## Contact information

- **Practice address:** AVE HOSTOS, CENTRO MEDICO DE MAYAGUEZ, MAYAGUEZ, PR 00682-6353
- **Practice address phone:** (787) 335-9208
- **Mailing address:** 30 CONDOMINIO SOLIMAR, APT 2A, MAYAGUEZ, PR 00680-8309
- **Mailing address phone:** (787) 335-9208
- **Mailing address fax:** (787) 265-3952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4364 | PR | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 340697 | ACAA | PR |
| 01 | — | 3668 | FIRST MEDICAL | PR |