# HATO REY UROLOGY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Hato Rey Urology, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588241723
- **Authorized official:** DR. JUAN J MEDINA TIRADO MD (PRESIDENT)
- **Authorized official phone:** (787) 753-8533

## Contact information

- **Practice address:** TORRE AUXILIO MUTUO STE \#609, AVE PONCE DE LEON 735, SAN JUAN, PR 00917
- **Practice address phone:** (787) 753-8533
- **Practice address fax:** (787) 753-8548
- **Mailing address:** TORRE AUXILIO MUTUO STE \#609, AVE PONCE DE LEON 735, SAN JUAN, PR 00917
- **Mailing address phone:** (787) 753-8533
- **Mailing address fax:** (787) 753-8548

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2021
- **Last updated:** 03/25/2021