Organization
ENDOUROLOGICAL INSTITUTE INC
Active
Other names
Centro Cirugia Ambulatorio Procedimientos Urologicos
Organization subpart
No
Provider details
NPI number
Authorized official
PABLO E CARDONA DOBLE MD (PRESIDENT ENDOUROLOGICAL INSTITUTE)
(787) 777-8181
Entity
Organization
Contact information
Practice address
ENDOUROLOGICAL INSTITUTE INC-CENTRO CIRUGIA AMBULATORIA, 735 AVE PONCE DE LEON SUITE 608-612 TORRE AUXILIO MUTUO, SAN JUAN, PR 00917-5028
(787) 777-8181
(787) 777-8180
Mailing address
755 AVENIDA PONCE DE LEON, TORRE DE AUXILIO MUTUO SUITE 608, SAN JUAN, PR 00917-5028
(787) 777-8181
(787) 777-8180
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
14
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00344
AMERICAN HEALTH, INC.
PR
01
—
030193
CRUZ AZUL
PR
05
—
038600400
—
PR
01
—
18038
TRIPLE S
PR
01
—
3602-2
PROSSAM
PR
01
—
600226
PREFERRED
PR
01
—
9170053
HUMANA
PR
01
—
LB-45464
UIA
PR
Enumeration date
08/22/2006
Last updated
09/13/2023
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