Urocentro del Sur, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

356214 Issued in PR

Legal business name

UROCENTRO DEL SUR, LLC

Practice address

Torre Med San Lucas Suite 16
909 Tito Castro Ave
Ponce, PR 00716-4728

Phone

(787) 840-6290

Fax

(787) 840-6299

NPI assigned

Oct 12, 2015

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gilberto Ruiz Deya, MDNPI 1720063332

Title

President

Phone

(787) 840-6290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gilberto Ruiz Deya, M.D.

  • Urology Physician
  • Ponce, PR
  • NPI 1720063332
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1164893525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007150123",
            "telephone_number": "787-840-6290",
            "fax_number": "787-840-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MED SAN LUCAS SUITE 16",
            "address_2": "909 TITO CASTRO AVE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-840-6290",
            "fax_number": "787-840-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROCENTRO DEL SUR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "RUIZ DEYA",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-840-6290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "356214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mabel Turell Collazo
• Cristian David Turriago Figueroa
• Laura V Ujaque
• Universidad Interamericana (Optica Inter)
• Upscale Foot LLC
• Urological Professional Services PSC
• Urology Ambulatory Surgical Center
• Urology Surgical Center LLC
• Uronova
• Urosalud, P.S.C.

• Specialist in Ponce, PR
• Providers in Ponce, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.