Organization
RADA UROLOGICAL CONSULTING PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAN ARIEL DIEPPA M.D. (OWNER)
(787) 751-3535
Entity
Organization
Contact information
Practice address
982 CALLE 42 SE, REPARTO METROPOLITANO, SAN JUAN, PR 00921-2701
(787) 751-3535
(787) 767-6111
Mailing address
PO BOX 363704, SAN JUAN, PR 00936-3704
(787) 751-3535
(787) 767-6111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
PR
2088P0231X
Pediatric Urology Physician
—
PR
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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