Organization Active NPI

Eastern Urology PSC

  • Urology Physician
  • Caguas, PR
National Provider Identifier
1376214890
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
EASTERN UROLOGY PSC
Practice address
49 Calle Acosta
Caguas, PR 00725-3578
Phone
(787) 344-1797
NPI assigned
Sep 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Fernando L Rosario Feliciano
Title
Cpa
Phone
(787) 344-1797

Specialties & licenses 1

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

Addresses

Primary practice location

49 Calle Acosta
Caguas, PR 00725-3578

Mailing address

49 Calle Acosta
Caguas, PR 00725-3578

National Provider Directory

National Provider Directory

Locations

49 Calle Acosta
Caguas, PR 00725
Phone (787) 344-1797

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1376214890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CALLE ACOSTA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CALLE ACOSTA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253578",
            "telephone_number": "787-344-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN UROLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "ROSARIO FELICIANO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CPA",
        "authorized_official_telephone_number": "787-344-1797"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.