Organization Active NPI

Servicios Ginecologicos

  • Gynecology Physician
  • Fajardo, PR
National Provider Identifier
1093403743
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
SERVICIOS GINECOLOGICOS
Practice address
410 Ave General Valero Ste 203
Fajardo, PR 00738-3988
Phone
(787) 655-7222
NPI assigned
Apr 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Yma Osorio de Jesus, MD
Title
President
Phone
(787) 655-7222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

410 Ave General Valero Ste 203
Fajardo, PR 00738-3988

Mailing address

410 Ave General Valero Ste 203
Fajardo, PR 00738-3988
Phone (787) 655-7222

National Provider Directory

National Provider Directory

Locations

410 Ave General Valero
Ste 203
Fajardo, PR 00738
Phone (787) 655-7222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1093403743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 AVE GENERAL VALERO STE 203",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383988",
            "telephone_number": "787-655-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE GENERAL VALERO STE 203",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383988",
            "telephone_number": "787-655-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS GINECOLOGICOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "OSORIO DE JESUS",
        "authorized_official_first_name": "YMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-655-7222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.