Organization
COLON AND RECTAL SURGICAL GROUP OF PUERTO RICO PSC
Active
Organization
COLON AND RECTAL SURGICAL GROUP OF PUERTO RICO PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTIAGO ANTONIO ULLOA (PRESIDENT)
(787) 707-0095
Entity
Organization
Contact information
Practice address
107 GONZALEZ GUISTI AVE, CAPARRA GALLERY BLDG SUITE 305, GUAYNABO, PR 00966-3017
(787) 707-0095
(787) 707-0096
Mailing address
PO BOX 19060, SAN JUAN, PR 00910-1060
(787) 707-0095
(787) 707-0096
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
10722
PR
Other
Enumeration date
11/17/2006
Last updated
08/26/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up