Advanced Urology Group Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

18043 Issued in PR

Legal business name

ADVANCED UROLOGY GROUP INC

Practice address

410 Ave Hostos
Primer Piso Oficina 111N
Mayaguez, PR 00682-1560

Phone

(787) 652-1755

NPI assigned

Apr 10, 2014

Last updated

Apr 10, 2014By 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. Javier Enrique Colon-Irizarry, M.D.

Title

President

Phone

(787) 652-1755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1396164067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3168",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813168",
            "telephone_number": "787-652-1755",
            "fax_number": "787-652-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS",
            "address_2": "PRIMER PISO OFICINA 111N",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-652-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED UROLOGY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "COLON-IRIZARRY",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-652-1755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "18043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Mayaguez, PR
• Providers in Mayaguez, 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 Apr 10, 2014; 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.