# PUERTO RICO ADVANCED UROLOGY CENTER, LLC

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

## Provider details

- **NPI number:** 1427698208
- **Authorized official:** DR. FRANCISCO MANUEL DUBOCQ MD (DIRECTOR)
- **Authorized official phone:** (787) 948-3431

## Contact information

- **Practice address:** 100 AVE LAUREL, BAYAMON, PR 00956-4816
- **Practice address phone:** (787) 786-5307
- **Practice address fax:** (787) 740-2140
- **Mailing address:** PO BOX 1847, BAYAMON, PR 00960-1847
- **Mailing address phone:** (787) 786-5305
- **Mailing address fax:** (787) 740-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QL0400X | Lithotripsy Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 01/09/2020
- **Last updated:** 11/27/2023