NPI 1396164067

Advanced Urology Group INC

Organisation Urology Physician Mayaguez, PR

Practice location

Address: 410 Ave Hostos Primer Piso Oficina 111n, Mayaguez, PR 00682-1560
Phone: (787) 652-1755
Mailing address: PO Box 3168, Mayaguez, PR 00681-3168

Authorised official

Name: Javier Enrique Colon-Irizarry
Title: President
Phone: (787) 652-1755

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 18043 (PR)

Other Urology providers in Puerto Rico →

Registry record

NPI: 1396164067
Entity type: Organization
NPI issued: 10 Apr 2014
Record last updated: 10 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.