Organization Active NPI

Servicios Urologicos de Puerto Rico

  • Urology Physician
  • San Juan, PR
National Provider Identifier
1659702199
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SERVICIOS UROLOGICOS DE PUERTO RICO
Practice address
735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo Suite 409
San Juan, PR 00917-5022
Phone
(787) 753-8514
Fax
(787) 753-2883
NPI assigned
Dec 10, 2013
Organization subpart
Yes
Parent organization
SERVICIOS UROLOGICOS DE PUERTO RICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Gil Nieves Latimer
Title
President
Phone
(787) 753-8514

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X PR Primary
Exclusive Provider Organization 302F00000X 599143713 PR
Health Maintenance Organization 302R00000X PR
Preferred Provider Organization 305R00000X
Preferred Provider Organization 305R00000X PR
Point of Service 305S00000X PR

Addresses

Primary practice location

735 Ave Ponce de Leon
Torre Medica Auxilio Mutuo Suite 409
San Juan, PR 00917-5022

Mailing address

35 Calle Juan C Borbon
Suite 67-195
Guaynabo, PR 00969-5374
Phone (787) 753-8514

National Provider Directory

National Provider Directory
Part of
Servicios Urologicos de Puerto Rico

Practitioners & affiliated clinicians

Practitioners 2

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": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659702199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON",
            "address_2": "SUITE 67-195",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695374",
            "telephone_number": "787-753-8514",
            "fax_number": "787-753-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE MEDICA AUXILIO MUTUO SUITE 409",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-753-8514",
            "fax_number": "787-753-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS UROLOGICOS DE PUERTO RICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERVICIOS UROLOGICOS DE PUERTO RICO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NIEVES LATIMER",
        "authorized_official_first_name": "GIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-753-8514",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "599143713",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.