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Contact Information

J.C. ISLAND LITHOTRIPSY LLC
909 AVE TITO CASTRO SAINT LUKES MEMORIAL HOSPITAL INC
SECOND FLOOR IN FRONT OF OR
PONCE, PR00716-4717
 Phone: 787-844-2080
 Fax: 787-840-5390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Lithotripsy

261QL0400X
Indicates primary specialty

NPI Profile & details for JC ISLAND LITHOTRIPSY LLC · (Female)

NPI Number 1386815264
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2008
Last updated 05/06/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • PR Medicaid 038410300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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