Urosalud, P.S.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

18175 Issued in PR

Legal business name

UROSALUD, P.S.C.

Practice address

909 Ave Tito Castro
Torre Medica San Lucas Suite #510
Ponce, PR 00716-4728

Phone

(787) 259-7293

Fax

(787) 840-6679

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Javier Antonio Castillo, M.D.NPI 1568621084

Title

President

Phone

(787) 259-7293

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.

• Javier Antonio Castillo, M.D.

  • Urology Physician
  • Ponce, PR
  • NPI 1568621084
  Medicare reassignment NPD Authorized official
• Lysandra Hernandez, PA

  • Medical Physician Assistant
  • Ponce, PR
  • NPI 1740904168
  NPD (past)

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1477960334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE #510",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-259-7293",
            "fax_number": "787-840-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "TORRE MEDICA SAN LUCAS SUITE #510",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-259-7293",
            "fax_number": "787-840-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROSALUD, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-259-7293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PR",
            "license": "18175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urocentro del Sur, LLC
• Urological Professional Services PSC
• Urology Ambulatory Surgical Center
• Urology Surgical Center LLC
• Uronova
• Uroshield LLC
• Dayanet Urrutia Diaz
• Vaccines 360 LLC
• Vacunas Bright Center Inc.
• Vacunas Health Clinic 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 Jul 11, 2014; 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.