Healthcare Provider Details

I. General information

NPI: 1235366303
Provider Name (Legal Business Name): RRQ UROLOGY INSTITUTE PCS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 06/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYAMON MEDICAL MALL SUITE 908
BAYAMON PR
00959-7200
US

IV. Provider business mailing address

BAYAMON MEDICAL MALL SUITE 908
BAYAMON PR
00959-7200
US

V. Phone/Fax

Practice location:
  • Phone: 787-798-7751
  • Fax: 787-780-6370
Mailing address:
  • Phone: 787-798-7751
  • Fax: 787-780-6370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. RAFAEL RUIZ-QUIJANO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-798-7751