San Juan Urology Associates Inc.
Organization Active NPI Specialist · Montrose, CO
NPI 1124262985 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1124262985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 33801 (CO)
- Legal business name
- SAN JUAN UROLOGY ASSOCIATES INC.
- Practice address
- 630 E Star CT
Montrose, CO 81401-6702 - Phone
- (970) 249-2291
- Fax
- (970) 240-3912
- NPI assigned
- Apr 23, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Adragna, M.D.
- Title
- Owner
- Phone
- (970) 249-2291
Practitioners 3
-
Michael S Tonzi, MD
-
Joseph Adragna IV, MD, MHA, MGH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110902000276 | CO | Part B Supplier - Clinic/Group Practice | 9739359571 |
Receives reassigned benefits from 2 practitioners Practice locations: Montrose, CO |
National Provider Directory
Locations
1550 Niagara Rd
#B
Montrose, CO 81401
Phone (970) 249-2291
904 S 4th St
Montrose, CO 81401
Phone (970) 252-2753
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 33801 | CO | Yes |
Addresses
Primary practice location
630 E Star CT
Montrose, CO 81401-6702
Mailing address
1550 B East Niagara Rd
Montrose, CO 81401-5027
Phone (970) 249-2291
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.