# RADA UROLOGICAL CONSULTING PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912333527
- **Authorized official:** RENAN ARIEL DIEPPA M.D. (OWNER)
- **Authorized official phone:** (787) 751-3535

## Contact information

- **Practice address:** 982 CALLE 42 SE, REPARTO METROPOLITANO, SAN JUAN, PR 00921-2701
- **Practice address phone:** (787) 751-3535
- **Practice address fax:** (787) 767-6111
- **Mailing address:** PO BOX 363704, SAN JUAN, PR 00936-3704
- **Mailing address phone:** (787) 751-3535
- **Mailing address fax:** (787) 767-6111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | PR | Yes |
| 2088P0231X | Pediatric Urology Physician | — | PR | — |

## Other

- **Enumeration date:** 09/16/2013
- **Last updated:** 09/16/2013