Urological Professional Services PSC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

12897 Issued in PR

Legal business name

UROLOGICAL PROFESSIONAL SERVICES PSC

Practice address

2225 Ponce by Pass
Suite 504
Ponce, PR 00717-1321

Phone

(787) 432-7073

Fax

(787) 848-0318

NPI assigned

Aug 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard Baez Tellado, MDNPI 1588766893

Title

President

Phone

(787) 432-7073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Baez Tellado, MD

  • Urology Physician
  • Ponce, PR
  • NPI 1588766893
  Medicare reassignment NPD Authorized official
• Jorge A. Toro-Burguete, M.D.

  • Surgical Oncology Physician
  • Ponce, PR
  • NPI 1891757472
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1265711667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 801453",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801453",
            "telephone_number": "787-432-7073",
            "fax_number": "787-848-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BY PASS",
            "address_2": "SUITE 504",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "787-432-7073",
            "fax_number": "787-848-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL PROFESSIONAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "BAEZ TELLADO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-432-7073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PR",
            "license": "12897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian David Turriago Figueroa
• Laura V Ujaque
• Universidad Interamericana (Optica Inter)
• Upscale Foot LLC
• Urocentro del Sur, LLC
• Urology Ambulatory Surgical Center
• Urology Surgical Center LLC
• Uronova
• Urosalud, P.S.C.
• Uroshield LLC

• Urology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.