Urocentro Del Sur, LLC

NPI #1164893525 in Ponce, Puerto Rico

Provider Information

NPI Number: 1164893525
Entity Type: Organization
Organization Name: Urocentro Del Sur, LLC
Primary Specialty: Specialist
Enumeration Date: Oct 12, 2015
Last Updated: Sep 20, 2018

Practice Location

Address: TORRE MED SAN LUCAS SUITE 16
Address 2: 909 TITO CASTRO AVE
City: Ponce
State: Puerto Rico
ZIP Code: 00716-4728
Phone: (787) 840-6290

Authorized Official

Name: DR. GILBERTO RUIZ DEYA, MD
Title: PRESIDENT
Phone: (787) 840-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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