Maternidad Y Clinica Ginecologica

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5325 Issued in PR

Legal business name

MATERNIDAD Y CLINICA GINECOLOGICA

Practice address

Edif Medico Santa Cruz
Suite 311
Bayamon, PR 00961-6910

Phone

(787) 798-3835

Fax

(787) 798-4230

NPI assigned

Jan 25, 2007

Organization subpart

Yes

Parent organization

MATERNIDAD Y CLINICA GINECOLOGICAAs reported in NPPES

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

Authorized official

Name

Mrs. Edna Parrilla, BSN

Title

Office Administrator

Phone

(787) 381-4652

Specialties & licenses 2

Addresses

Other identifiers 4

Part of

Matern Y Clin Ginec de Ba

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1033265129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICO SANTA CRUZ SUITE 311",
            "address_2": "COLLE STA CRUZ #73",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-798-3835",
            "fax_number": "787-798-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF MEDICO SANTA CRUZ",
            "address_2": "SUITE 311",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-798-3835",
            "fax_number": "787-798-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNIDAD Y CLINICA GINECOLOGICA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MATERNIDAD Y CLINICA GINECOLOGICA",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "PARRILLA",
        "authorized_official_first_name": "EDNA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "787-381-4652",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "5325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "28362MA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "068618",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "25025",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "N687",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Massa Tormos, M.D.
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• Amalia Ines Mateo, PT
• Elba R Mathew
• Pedro F. Matias Valladares, M.D.
• Anneris Matias
• Rosalee Matias, PT
• Magda Matos Caliz, OD

• Obstetrics & Gynecology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.