Organization
J.C. ISLAND LITHOTRIPSY LLC
Active
Other names
ISLAND LITHOTRIPSY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX MENDOZA-ROSA MD (PRESIDENT)
(787) 844-2080
Entity
Organization
Contact information
Practice address
909 AVE TITO CASTRO SAINT LUKES MEMORIAL HOSPITAL INC, SECOND FLOOR IN FRONT OF OR, PONCE, PR 00716-4717
(787) 844-2080
(787) 840-5390
Mailing address
609 AVE TITO CASTRO STE 102, PMB 382, PONCE, PR 00716-0200
(787) 844-2080
(787) 840-5390
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
261QL0400X
Lithotripsy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038410300
—
PR
Enumeration date
03/18/2008
Last updated
05/06/2025
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