Organization Active NPI

Carolina OB-GYN

  • Obstetrics & Gynecology Physician
  • Carolina, PR
National Provider Identifier
1033237458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11317 Issued in PR
Legal business name
CAROLINA OB-GYN
Practice address
Via Mirtha 3KS-4
Urb. Villa Fontana
Carolina, PR 00983
Phone
(787) 757-0820
Fax
(787) 768-1900
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edgardo Jose Aponte - Sanchez, M.D.
Title
Administrador
Phone
(787) 757-0820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 11317 PR Primary

Addresses

Primary practice location

Via Mirtha 3KS-4
Urb. Villa Fontana
Carolina, PR 00983

Mailing address

PO Box 6247
Loiza St. Station
San Juan, PR 00914-6247
Phone (787) 757-0820

Other identifiers 1

IdentifierTypeStateIssuer
83859OtherPRTRIPEL-S PROVIDER ID

National Provider Directory

National Provider Directory

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033237458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6247",
            "address_2": "LOIZA ST. STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009146247",
            "telephone_number": "787-757-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIA MIRTHA 3KS-4",
            "address_2": "URB. VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-757-0820",
            "fax_number": "787-768-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OB-GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "APONTE - SANCHEZ",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-757-0820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "11317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPEL-S PROVIDER ID",
            "identifier": "83859",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.