# CENTRO DE CIRUGIA UROLOGICA AMBULATORIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro de Cirugia Urologica Ambulatoria
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902171929
- **Authorized official:** DR. FRANCISCO MANUEL DUBOCQ-BERDEGUEZ M.D. (DIRECTOR)
- **Authorized official phone:** (787) 786-5305

## Contact information

- **Practice address:** 68 CALLE SANTA CRUZ, TORRE SAN PABLO, SUITE 102, BAYAMON, PR 00961-7031
- **Practice address phone:** (787) 786-5305
- **Practice address fax:** (787) 740-2140
- **Mailing address:** PO BOX 1847, BAYAMON, PR 00960-1847
- **Mailing address phone:** (787) 786-5305
- **Mailing address fax:** (787) 740-2140

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2012
- **Last updated:** 09/18/2023