Provider Demographics
NPI:1386338648
Name:UROMED-LEX LLC
Entity type:Organization
Organization Name:UROMED-LEX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENEDICTO
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-960-1600
Mailing Address - Street 1:PO BOX 789
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0789
Mailing Address - Country:US
Mailing Address - Phone:787-960-1600
Mailing Address - Fax:855-594-4246
Practice Address - Street 1:MQ 1 PASEO DEL MONTE URB MONTE CLARO
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-960-1600
Practice Address - Fax:855-594-4246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty