# CENTRO AMBULATORIO DE CIRUGIA ESPECIALIZADA

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

## Provider details

- **NPI number:** 1689200149
- **Authorized official:** ROBERTO I RUIZ (ADMINISTRATOR)
- **Authorized official phone:** (787) 249-5097

## Contact information

- **Practice address:** 921 AVE TITO CASTRO, PONCE, PR 00716-4717
- **Practice address phone:** (787) 284-8800
- **Mailing address:** PO BOX 1715, LAJAS, PR 00667-1715
- **Mailing address phone:** (787) 840-6290
- **Mailing address fax:** (787) 899-8023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2020
- **Last updated:** 03/02/2023