Organization
UROCENTRO DEL SUR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERTO RUIZ DEYA MD (PRESIDENT)
(787) 840-6290
Entity
Organization
Contact information
Practice address
TORRE MED SAN LUCAS SUITE 16, 909 TITO CASTRO AVE, PONCE, PR 00716-4728
(787) 840-6290
(787) 840-6299
Mailing address
PO BOX 123, PONCE, PR 00715-0123
(787) 840-6290
(787) 840-6299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
356214
PR
Other
Enumeration date
10/12/2015
Last updated
09/20/2018
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