Advance Urology & Laparoscopic Ctr PSC
Organization Active NPI Urology Physician · Ponce, PR
NPI 1902212905 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1902212905
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- License
- 13510 (PR)
- Legal business name
- ADVANCE UROLOGY & LAPAROSCOPIC CTR PSC
- Practice address
- 909 Ave Tito Castro Ste 710
Torre Medica San Lucas
Ponce, PR 00716 - Phone
- (787) 284-3333
- Fax
- (787) 284-1722
- NPI assigned
- Jul 10, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Gilberto Ruiz Deya, MD
- Title
- President
- Phone
- (787) 284-3333
Practitioners 2
-
Mariela Raquel Martinez-Rivera, MD, MS
-
Gilberto Ruiz Deya, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250724003965 | PR | Part B Supplier - Clinic/Group Practice | 3971010059 |
Receives reassigned benefits from 2 practitioners Practice locations: Ponce, PR |
National Provider Directory
Locations
609 Ave Tito Castro
Ste 1
Ponce, PR 00716
Phone (787) 841-4846
715 Ave Tito Castro
Ponce, PR 00716
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | 13510 | PR | Yes |
Addresses
Primary practice location
909 Ave Tito Castro Ste 710
Torre Medica San Lucas
Ponce, PR 00716
Mailing address
715 Ave Tito Castro
PMB 363
Ponce, PR 00716-4715
Phone (787) 284-3333
Other providers in Ponce, PR
- Natalia Adorno Carvajal
- Aldrick Adorno-Adorno
- Javier Adorno
- Advance Cardiovascular Solutions LLC
- Advance Medical & Administrative Support Corp
- Advanced Behavioral Center, Inc.
- Advanced Cardio-Surgical Group, Inc.
- Advanced Endoscopy Center PSC
- Advanced Rent Sales Medical
- Advanced Retina LLC
All providers in Ponce, 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 Jun 10, 2026. 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.