Organization · NPI-2
Borinquen Urology LLC
Urology · Arecibo, PR
NPI number1174353734
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1174353734
- Entity type
- Organization (NPI-2)
- Legal business name
- Borinquen Urology LLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2024
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
Metropolitan Office Building153 Calle Jose De Diego
Arecibo, PR 00612
Phone 215-662-2891
Mailing address
Po Box 145200Arecibo, PR 00614-5200
Authorized official
Victor E Otano-Rivera
Urologist (Ceo)
2676243578
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