Healthcare Provider Details
I. General information
NPI: 1871395350
Provider Name (Legal Business Name): XCELL SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
735 AVE PONCE DE LEON TORRE MEDICA AUXILIO MUTUO SUITE 404
SAN JUAN PR
00917
US
IV. Provider business mailing address
735 AVE PONCE DE LEON TORRE MEDICA AUXILIO MUTUO SUITE 404
SAN JUAN PR
00917
US
V. Phone/Fax
- Phone: 787-238-3329
- Fax:
- Phone: 787-238-3329
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 204F00000X |
| Taxonomy | Transplant Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MAIZA
D
SAAVEDRA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-238-3329