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Organization

ADVANCED UROLOGY GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAVIER ENRIQUE COLON-IRIZARRY M.D. (PRESIDENT)
(787) 652-1755
Entity
Organization

Contact information

Practice address
410 AVE HOSTOS, PRIMER PISO OFICINA 111N, MAYAGUEZ, PR 00682-1560
(787) 652-1755
Mailing address
PO BOX 3168, MAYAGUEZ, PR 00681-3168
(787) 652-1755
(787) 652-1760

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18043
PR

Other

Enumeration date
04/10/2014
Last updated
04/10/2014
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