J.C. ISLAND LITHOTRIPSY LLC NPI 1386815264

NPI Information

  • NPI: 1386815264
  • Provider Name: J.C. ISLAND LITHOTRIPSY LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • :
  • Address: 909 AVE TITO CASTRO SAINT LUKES MEMORIAL HOSPITAL INC
    SECOND FLOOR IN FRONT OF OR
    PONCE, PR
    ZIP 00716
  • Phone: (787) 844-2080

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NPI Details

J.C. ISLAND LITHOTRIPSY LLC is an urology in Ponce, PR. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. J.C. ISLAND LITHOTRIPSY LLC NPI is 1386815264. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

909 AVE TITO CASTRO SAINT LUKES MEMORIAL HOSPITAL INC
SECOND FLOOR IN FRONT OF OR
PONCE, PR
ZIP 00716-717
Phone: (787) 844-2080
Fax: (787) 840-5390

The provider's authorized official is Felix Mendoza-rosa .
The authorized official title is President and has the following contact phone number (787) 844-2080.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 5/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QL0400XClinic/CenterLithotripsyNo
2208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1038410300MEDICAIDPUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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