# WEST UROLOGY GROUP PSC

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

## Provider details

- **NPI number:** 1538598099
- **Authorized official:** DR. LUIS MUNIZ-COLON M.D. (PRESIDENT)
- **Authorized official phone:** (787) 402-8508

## Contact information

- **Practice address:** CARRETERA NUM 2 KM. 174.3, CAMINO PIN QUINONES, SAN GERMAN, PR 00683
- **Practice address phone:** (787) 264-4905
- **Practice address fax:** (787) 703-2929
- **Mailing address:** 136 CALLE PABLO CASALS, MAYAGUEZ, PR 00680-3944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 16871 | PR | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 11/05/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 328756 | CERTIFICACION DE REGISTRO | PR |