West GYN Services LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

WEST GYN SERVICES LLC

Practice address

55 Calle Doctor Basora
Edificio Medico VI Suite 102
Mayaguez, PR 00680

Phone

(787) 833-0420

NPI assigned

Jul 16, 2019

Last updated

Jul 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diego Pablo-Duclerc, MD

Title

President

Phone

(787) 833-0420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1023660453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 VILLA FONTANA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827452",
            "telephone_number": "787-833-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE DOCTOR BASORA",
            "address_2": "EDIFICIO MEDICO VI SUITE 102",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GYN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "PABLO-DUCLERC",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-833-0420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.