Healthcare Provider Details

I. General information

NPI: 1497447080
Provider Name (Legal Business Name): HCR SURGICAL P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 05/23/2023
Certification Date: 05/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80100 CALLE FERNANDEZ JUNCOS
CAROLINA PR
00985-6179
US

IV. Provider business mailing address

URB. SAN FRANCISCO, CALLE VIOLETA 232
SAN JUAN PR
00927-6224
US

V. Phone/Fax

Practice location:
  • Phone: 787-626-0472
  • Fax: 787-626-0473
Mailing address:
  • Phone: 305-772-5550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HERIBERTO CASANOVA
Title or Position: PRESIDENT
Credential: MD
Phone: 305-772-5550