Organization
WEST COAST UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON ROVIRA PENA (PRESIDENT)
(787) 832-2395
Entity
Organization
Contact information
Practice address
HOSPITAL LA CONCEPCION, TORRE MEDICA SAN VICENTE DE PAUL OFICINA 609-610, SAN GERMAN, PR 00683
(787) 659-7444
Mailing address
PO BOX 601, MAYAGUEZ, PR 00681-0601
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568758332
NPPES
—
Enumeration date
09/25/2018
Last updated
09/25/2018
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