Organization Active NPI

Grupo Gineco-Obstetrico del Norte PSC

  • Obstetrics Physician
  • San Juan, PR
National Provider Identifier
1013013465
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
GRUPO GINECO-OBSTETRICO DEL NORTE PSC
Practice address
66 Calle Georgetti
San Juan, PR 00925
Phone
(787) 765-4208
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Giselle M Trillo
Title
Billing/Administrator
Phone
(787) 413-4896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

66 Calle Georgetti
San Juan, PR 00925

Mailing address

66 Calle Georgetti
San Juan, PR 00925
Phone (787) 765-4208

Other identifiers 1

IdentifierTypeStateIssuer
28009OtherPRSSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120521000296 PR Part B Supplier - Clinic/Group Practice 9739342239 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

66 Calle Georgetti
San Juan, PR 00925
Phone (787) 528-5605

200 Ave de Diego
Ste 508
San Juan, PR 00927
Phone (787) 727-4441

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1013013465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CALLE GEORGETTI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-765-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE GEORGETTI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-765-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO GINECO-OBSTETRICO DEL NORTE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "TRILLO",
        "authorized_official_first_name": "GISELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING/ADMINISTRATOR",
        "authorized_official_telephone_number": "787-413-4896"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "28009",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.