# PUERTO RICO METROPOLITAN UROLOGY LLC

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

## Provider details

- **NPI number:** 1851527154
- **Authorized official:** DR. RAFAEL BOUET BLASINI M.D. (CO- PRESIDENT)
- **Authorized official phone:** (787) 510-6893

## Contact information

- **Practice address:** CA. SERGIO CUEVAS BUSTAMANTE \#550, HOSPITAL DEL MAESTRO SUITE 2001, SAN JUAN, PR 00918-0000
- **Practice address phone:** (787) 763-7277
- **Practice address fax:** (787) 781-3131
- **Mailing address:** ROAD 21 T3-8, URB. LAS LOMAS, SAN JUAN, PR 00921-0000
- **Mailing address phone:** (787) 781-1265
- **Mailing address fax:** (787) 781-3131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 15374 | PR | Yes |

## Other

- **Enumeration date:** 06/02/2009
- **Last updated:** 03/25/2011