Provider Demographics
NPI:1154723450
Name:UROCARE PSC
Entity type:Organization
Organization Name:UROCARE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:EDGARDO
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-496-9788
Mailing Address - Street 1:1452 AVE ASHFORD
Mailing Address - Street 2:ADA LIGIA SUITE 1C
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1581
Mailing Address - Country:US
Mailing Address - Phone:787-946-9788
Mailing Address - Fax:787-963-0163
Practice Address - Street 1:1452 AVE ASHFORD
Practice Address - Street 2:ADA LIGIA SUITE 1C
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1581
Practice Address - Country:US
Practice Address - Phone:787-946-9788
Practice Address - Fax:787-963-0163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18720208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1255529608OtherNPI 1255529608