Active NPI
United OB GYN PSC
- Obstetrics & Gynecology Physician
- San Juan, PR
National Provider Identifier
1003407511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- UNITED OB GYN PSC
- Practice address
- 611 Calle Pavia Ofc 204205
San Juan, PR 00909-2244 - Phone
- (787) 727-4333
- NPI assigned
- Jan 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carmen Rojas Fortuna, MD
- Title
- Msha
- Phone
- (787) 469-8518
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
611 Calle Pavia Ofc 204205
San Juan, PR 00909-2244
Mailing address
PO Box 19653
San Juan, PR 00910-1653
Phone (787) 469-8518
Other names 1
- United Ob/Gyn PSC
National Provider Directory
National Provider DirectoryLocations
611 Calle Pavia
Ofc 204205
San Juan, PR 00909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611705600000",
"number": "1003407511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19653",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009101653",
"telephone_number": "787-469-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 CALLE PAVIA OFC 204205",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092244",
"telephone_number": "787-727-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED OB GYN PSC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A",
"authorized_official_last_name": "ROJAS FORTUNA",
"authorized_official_first_name": "CARMEN",
"authorized_official_title_or_position": "MSHA",
"authorized_official_telephone_number": "787-469-8518",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "United Ob/Gyn PSC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.