# CENTRO DE UROLOGIA LA MONTANA C.S.P.

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

## Provider details

- **NPI number:** 1619324266
- **Authorized official:** DR. ANTONIO YULIAN M.D. (PRESIDENTE)
- **Authorized official phone:** (787) 744-0670

## Contact information

- **Practice address:** 1 AVE 500 DEGETAU HIMA PLAZA, SUITE 413, CAGUAS, PR 00725-7307
- **Practice address phone:** (787) 744-0670
- **Practice address fax:** (787) 961-4682
- **Mailing address:** PO BOX 371355, CAYEY, PR 00737-1355
- **Mailing address phone:** (787) 744-0670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4802 | PR | Yes |

## Other

- **Enumeration date:** 05/24/2016
- **Last updated:** 05/24/2016