Organization
RENCEL UROLOGICAL CONSULTANTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENAN A DIEPPA M.D. (CEO)
(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
—
—
2088P0231X
Pediatric Urology Physician
—
—
Other
Enumeration date
01/31/2010
Last updated
12/03/2012
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