# RENCEL UROLOGICAL CONSULTANTS, 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:** 1962734020
- **Authorized official:** RENAN A DIEPPA M.D. (CEO)
- **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 | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 2088P0231X | Pediatric Urology Physician | — | NULL | — |
| 2088P0231X | Pediatric Urology Physician | — | — | — |

## Other

- **Enumeration date:** 01/31/2010
- **Last updated:** 12/03/2012