Healthcare Provider Details
I. General information
NPI: 1386562288
Provider Name (Legal Business Name): CABO ROJO MEDICAL URGENCY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
47 CALLE HOSTOS
CABO ROJO PR
00623-3449
US
IV. Provider business mailing address
PO BOX 1942
MAYAGUEZ PR
00681-1942
US
V. Phone/Fax
- Phone: 787-255-0200
- Fax:
- Phone: 787-255-0200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QE0002X |
| Taxonomy | Emergency Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LUIS
PEREZ TIJERINA
Title or Position: DIRECTOR
Credential: MD
Phone: 787-255-0200