# HATO REY UROLOGY GROUP

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

## Provider details

- **NPI number:** 1639498132
- **Authorized official:** JUAN I MEDINA MD (PARTNER)
- **Authorized official phone:** (787) 753-8533

## Contact information

- **Practice address:** 735 AVE PONCE DE LEON, SUITE 609 TORRE AUXILIO MUTUO, SAN JUAN, PR 00917-5028
- **Practice address phone:** (787) 753-8533
- **Practice address fax:** (787) 758-0373
- **Mailing address:** 735 AVE PONCE DE LEON, SUITE 609 TORRE AUXILIO MUTUO, SAN JUAN, PR 00917-5028
- **Mailing address phone:** (787) 753-8533
- **Mailing address fax:** (787) 758-0373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 3623 | PR | Yes |

## Other

- **Enumeration date:** 05/24/2010
- **Last updated:** 05/24/2010