NPIMap

Organization Active NPI

Puerto Rico Urology Group LLC

  • Urology Physician
  • Mayaguez, PR
National Provider Identifier
1356764278
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
PUERTO RICO UROLOGY GROUP LLC
Practice address
103 Calle de Diego E
Mayaguez, PR 00680-4863
Phone
(787) 834-8160
Fax
(787) 265-5777
NPI assigned
Jan 29, 2014
Last updated
Mar 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
William Roman Torreguitart, M.D.NPI 1780600072
Title
President
Phone
(787) 834-8160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

103 Calle de Diego E
Mayaguez, PR 00680-4863

Mailing address

PO Box 350
Mayaguez, PR 00681-0350
Phone (787) 834-8160

Other names 1

  • Puerto Rico Urology Group PSC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150107001911 PR Part B Supplier - Clinic/Group Practice 7012230519 Receives reassigned benefits from 14 practitioners
Practice locations: San German, PR; Mayaguez, PR; Bayamon, PR; Aguadilla, PR

National Provider Directory

National Provider Directory
Tax ID family
PR Urology Group PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1845 Carr 2
Ste 904
Bayamon, PR 00959
Phone (787) 622-0817

103 Calle de Diego E
Mayaguez, PR 00680
Phone (787) 652-4205

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1356764278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810350",
            "telephone_number": "787-834-8160",
            "fax_number": "787-265-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CALLE DE DIEGO E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804863",
            "telephone_number": "787-834-8160",
            "fax_number": "787-265-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO UROLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "ROMAN TORREGUITART",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-834-8160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puerto Rico Urology Group PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.