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General NPI Number Information
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NPI Number | 1629950662
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Entity Type | Organization
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Legal Business Name | UROLOGY SURGICAL CENTER LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2435 BLVD LUIS A FERRE STE 131
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City | PONCE
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State | PR
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Zip | 00717-2112
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Country | US
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Telephone | 787-866-3355
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2908
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City | GUAYAMA
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State | PR
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Zip | 00785-2908
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Country | US
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Telephone | 787-918-1744
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. FEDERICO A SANTAMARINA
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Credential |
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Telephone | 787-918-1744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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