Organization Active NPI

Cons Medico Ginecologia Y Obstetricia

  • Specialist
  • Canovanas, PR
National Provider Identifier
1093861643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11620 Issued in PR
Legal business name
CONS MEDICO GINECOLOGIA Y OBSTETRICIA
Practice address
Calle Palmer #18 Esq. Blanco Sosa
Canovanas, PR 00729-0011
Phone
(787) 256-0132
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Zulma Iris Jurado Agosto, M.DNPI 1801863063
Title
President
Phone
(787) 256-0132

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 11620 PR Primary

Addresses

Primary practice location

Calle Palmer #18 Esq. Blanco Sosa
Canovanas, PR 00729-0011

Mailing address

PO Box 10000
Canovanas, PR 00729-0011
Phone (787) 256-0132

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081016000389 PR Part B Supplier - Clinic/Group Practice 3577621796 Receives reassigned benefits from 1 practitioner
Practice locations: Canovanas, PR

National Provider Directory

National Provider Directory

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093861643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10000",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290011",
            "telephone_number": "787-256-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PALMER #18 ESQ. BLANCO SOSA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290011",
            "telephone_number": "787-256-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONS MEDICO GINECOLOGIA Y OBSTETRICIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JURADO AGOSTO",
        "authorized_official_first_name": "ZULMA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "17872560132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "11620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, 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.
  • 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.