| NPI | 1588241723 |
|---|---|
| Former Legal Business Name | HATO REY UROLOGY, LLC |
| Entity Type | Organization |
| Authorized Contact | JUAN J MEDINA TIRADO President 787-753-8533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-25 |