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Organization
SERVICIOS UROLOGICOS DE PUERTO RICO
Active
Organization
SERVICIOS UROLOGICOS DE PUERTO RICO
Active
Parent organization
SERVICIOS UROLOGICOS DE PUERTO RICO
Organization subpart
Yes
Provider details
NPI number
Legal business name
SERVICIOS UROLOGICOS DE PUERTO RICO
Authorized official
DR. GIL NIEVES LATIMER (PRESIDENT)
(787) 753-8514
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO SUITE 409, SAN JUAN, PR 00917-5022
(787) 753-8514
(787) 753-2883
Mailing address
35 CALLE JUAN C BORBON, SUITE 67-195, GUAYNABO, PR 00969-5374
(787) 753-8514
(787) 753-2883
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
PR
302F00000X
Exclusive Provider Organization
599143713
PR
302R00000X
Health Maintenance Organization
—
PR
305R00000X
Preferred Provider Organization
—
NULL
305R00000X
Preferred Provider Organization
—
PR
305S00000X
Point of Service
—
PR
Other
Enumeration date
12/10/2013
Last updated
07/21/2022
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