Organization
CENTRO DE CIRUGIA UROLOGICA AMBULATORIA, LLC
Active
Other names
Centro de Cirugia Urologica Ambulatoria
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO MANUEL DUBOCQ-BERDEGUEZ M.D. (DIRECTOR)
(787) 786-5305
Entity
Organization
Contact information
Practice address
68 CALLE SANTA CRUZ, TORRE SAN PABLO, SUITE 102, BAYAMON, PR 00961-7031
(787) 786-5305
(787) 740-2140
Mailing address
PO BOX 1847, BAYAMON, PR 00960-1847
(787) 786-5305
(787) 740-2140
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037492600
—
PR
01
—
25
PR DEPT OF HEALTH - SARAFS
PR
Enumeration date
03/09/2012
Last updated
09/18/2023
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