Centro de Cirugia Urologica Ambulatoria, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTRO DE CIRUGIA UROLOGICA AMBULATORIA, LLC

Doing business as

Centro de Cirugia Urologica Ambulatoria

Practice address

68 Calle Santa Cruz
Torre San Pablo, Suite 102
Bayamon, PR 00961-7031

Phone

(787) 786-5305

Fax

(787) 740-2140

NPI assigned

Mar 9, 2012

Last updated

Sep 18, 2023By 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. Francisco Manuel Dubocq-Berdeguez, M.D.NPI 1487699906

Title

Director

Phone

(787) 786-5305

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Centro de Cirugia Urologica Ambulatoria Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Listed as

Centro de Cirugia Urologica Ambulatoria LLCCCN 40C0001032

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Francisco Manuel Dubocq-Berdeguez, M.D.

  • Urology Physician
  • Bayamon, PR
  • NPI 1487699906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1902171929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601847",
            "telephone_number": "787-786-5305",
            "fax_number": "787-740-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CALLE SANTA CRUZ",
            "address_2": "TORRE SAN PABLO, SUITE 102",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617031",
            "telephone_number": "787-786-5305",
            "fax_number": "787-740-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE CIRUGIA UROLOGICA AMBULATORIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "DUBOCQ-BERDEGUEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-786-5305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR DEPT OF HEALTH - SARAFS",
            "identifier": "25",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037492600",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Cirugia Urologica Ambulatoria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centro de Cirugia Urologica Ambulatoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Ambulatory Surgical Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.