Healthcare Provider Details

I. General information

NPI: 1790993400
Provider Name (Legal Business Name): CARIBBEAN URO-SURGICAL PROCEDURES PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 21 T 3 8 LAS LOMAS
SAN JUAN PR
00921
US

IV. Provider business mailing address

CAMINO LOS BAEZ COND EL BOSQUE APT 1608
GUAYNABO PR
00971-9632
US

V. Phone/Fax

Practice location:
  • Phone: 787-461-7147
  • Fax: 787-812-0565
Mailing address:
  • Phone: 787-461-7147
  • Fax: 787-812-0565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LUIS R AMBERT
Title or Position: PRESIDENT
Credential: MD
Phone: 787-461-7147