PR Male & Female Urological PSC
Organization Active NPI Urology Physician · Guaynabo, PR
NPI 1780894576 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1780894576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- PR MALE & FEMALE UROLOGICAL PSC
- Practice address
- 13B Caminos Los Baez
Cond El Bosque Apt 1608
Guaynabo, PR 00966 - Phone
- (787) 781-1005
- Fax
- (787) 781-1265
- NPI assigned
- May 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Luis Ambert, MD
- Title
- President
- Phone
- (787) 781-1005
Practitioners 1
-
Luis Ambert, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080513000075 | PR | Part B Supplier - Clinic/Group Practice | 7618046913 |
Receives reassigned benefits from 1 practitioner Practice locations: San Juan, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
13B Caminos Los Baez
Cond El Bosque Apt 1608
Guaynabo, PR 00966
Mailing address
13B Caminos Los Baez
Cond El Bosque Apt 1608
Guaynabo, PR 00966
Phone (787) 781-1005
Other providers in Guaynabo, PR
- Carlos Posadas
- Carlos Roberto Pou
- Marlen J Pou
- PPTS, Inc.
- PR Healthcare Management Group
- Alina Pradere Alonso
- Manuel R Prats Vega
- Pre Health LLC
- Premier Health Services Corp
- Prescription Health Resources of Puerto Rico LLC
All providers in Guaynabo, PR · Urology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.