Organization Active NPI

Centro de Urologia la Montana C.S.P.

  • Urology Physician
  • Caguas, PR
National Provider Identifier
1619324266
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4802 Issued in PR
Legal business name
CENTRO DE UROLOGIA LA MONTANA C.S.P.
Practice address
1 Ave 500 Degetau Hima Plaza
Suite 413
Caguas, PR 00725-7307
Phone
(787) 744-0670
Fax
(787) 961-4682
NPI assigned
May 24, 2016
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Dr. Antonio Yulian, M.D.
Title
Presidente
Phone
(787) 744-0670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4802 PR Primary

Addresses

Primary practice location

1 Ave 500 Degetau Hima Plaza
Suite 413
Caguas, PR 00725-7307

Mailing address

PO Box 371355
Cayey, PR 00737-1355
Phone (787) 744-0670

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170109001066 PR Part B Supplier - Clinic/Group Practice 2961783832 Receives reassigned benefits from 1 practitioner
Practice locations: Caguas, PR

National Provider Directory

National Provider Directory

Locations

500 Ave Degetau
Ste 413
Caguas, PR 00725
Phone (787) 744-0670

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1619324266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371355",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007371355",
            "telephone_number": "787-744-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVE 500 DEGETAU HIMA PLAZA",
            "address_2": "SUITE 413",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257307",
            "telephone_number": "787-744-0670",
            "fax_number": "787-961-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE UROLOGIA LA MONTANA C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "YULIAN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-744-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "4802",
            "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 May 24, 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.