Individual provider Active NPI

Osvaldo B. Quiles Giovannetti, M.D.

  • Obstetrics & Gynecology Physician
  • Mayaguez, PR
National Provider Identifier
1073602967
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10864 Issued in PR
Practice address
Cond Medical Center PLZ
Suite 104
Mayaguez, PR 00682-1539
Phone
(787) 254-0138
Fax
(787) 254-0138
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10864 PR Primary

Addresses

Primary practice location

Cond Medical Center PLZ
Suite 104
Mayaguez, PR 00682-1539

Mailing address

Yamil Galib Street ,Paseo Los Robles
1621
Mayaguez, PR 00682-1621
Phone (787) 254-0138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000470 PR Practitioner - Obstetrics/Gynecology 0042481244 Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center - San Antonio Inc Past Accepting new patients
Hospital San Antonio Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1073602967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "YAMIL GALIB STREET ,PASEO LOS ROBLES",
            "address_2": "1621",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821621",
            "telephone_number": "787-254-0138",
            "fax_number": "787-254-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND MEDICAL CENTER PLZ",
            "address_2": "SUITE 104",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821539",
            "telephone_number": "787-254-0138",
            "fax_number": "787-254-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILES GIOVANNETTI",
        "first_name": "OSVALDO",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "10864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.