NPIMap

Organization Active NPI

Gustavo R. Sanchez MD, Facog CSP

Doing business as Gustavo Sanchez MD GYN Office

  • Gynecology Physician
  • Guayama, PR
National Provider Identifier
1033574405
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
07210 Issued in PR
Legal business name
GUSTAVO R. SANCHEZ MD, FACOG CSP
Doing business as
Gustavo Sanchez MD GYN Office
Practice address
23 Calle Baldorioty W
Guayama, PR 00784-5338
Phone
(787) 864-4191
Fax
(787) 866-8171
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Authorized official

Name
Dr. Gustavo R Sanchez, MDNPI 1407903917
Title
President
Phone
(787) 864-4191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X 07210 PR Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2088F0040X 07210 PR

Addresses

Primary practice location

23 Calle Baldorioty W
Guayama, PR 00784-5338

Mailing address

PO Box 2159
Guayama, PR 00785-2159
Phone (787) 864-4191

Other identifiers 1

IdentifierTypeStateIssuer
07210OtherPRPUERTO RICO LICENSE

Other names 1

  • GUSTAVO SANCHEZ MD GYN OFFICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161213000989 PR Part B Supplier - Clinic/Group Practice 7810277654 Receives reassigned benefits from 1 practitioner
Practice locations: Guayama, PR

National Provider Directory

National Provider Directory

Locations

23 Calle Baldorioty W
Guayama, PR 00784
Phone (787) 864-4191

Practitioners & affiliated clinicians

Practitioners 2

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": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1033574405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2159",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007852159",
            "telephone_number": "787-864-4191",
            "fax_number": "787-866-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CALLE BALDORIOTY W",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845338",
            "telephone_number": "787-864-4191",
            "fax_number": "787-866-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO R. SANCHEZ MD, FACOG CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-864-4191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "07210",
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "PR",
            "license": "07210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO LICENSE",
            "identifier": "07210",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUSTAVO SANCHEZ MD GYN OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.