Minimally Invasive Urology Center, PSC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

15396 Issued in PR

Legal business name

MINIMALLY INVASIVE UROLOGY CENTER, PSC

Practice address

Adler Medical Plaza, Suite 304
576 Cesar Gonzalez Avenue
San Juan, PR 00918

Phone

(787) 250-8985

Fax

(787) 764-6439

NPI assigned

Mar 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Arturo Colon-Herdman, MDNPI 1578774923

Title

President

Phone

(787) 250-8985

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.

• Arturo Colon-Herdman, M.D.

  • Urology Physician
  • San Juan, PR
  • NPI 1578774923
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1356640486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#576 CESAR GONZALEZ STREET",
            "address_2": "ADLER MEDICAL PLAZA, SUITE 304",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-250-8985",
            "fax_number": "787-764-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADLER MEDICAL PLAZA, SUITE 304",
            "address_2": "576 CESAR GONZALEZ AVENUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-250-8985",
            "fax_number": "787-764-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE UROLOGY CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "COLON-HERDMAN",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-250-8985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PR",
            "license": "15396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in San Juan, PR
• Providers in San Juan, 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 Jan 10, 2024; 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.