Organization Active NPI

Ag Women Health Services Corp.

  • Medical Specialty Clinic/Center
  • Juncos, PR
National Provider Identifier
1104968270
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
13083 Issued in PR
Legal business name
AG WOMEN HEALTH SERVICES CORP.
Practice address
Calle Lope Hormazabal #40 Urb Medrid
Juncos, PR 00777-0000
Phone
(787) 734-6020
Fax
(787) 734-0006
NPI assigned
Feb 13, 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. Antonio Medina, MD
Title
Ginecologo Obstetra
Phone
(787) 734-6020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 13083 PR Primary

Addresses

Primary practice location

Calle Lope Hormazabal #40 Urb Medrid
Juncos, PR 00777-0000

Mailing address

Calle Lope Hormazabal #40 Urb Medrid
Juncos, PR 00777-0000
Phone (787) 734-6020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104968270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE LOPE HORMAZABAL #40 URB MEDRID",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770000",
            "telephone_number": "787-734-6020",
            "fax_number": "787-734-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LOPE HORMAZABAL #40 URB MEDRID",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007770000",
            "telephone_number": "787-734-6020",
            "fax_number": "787-734-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG WOMEN HEALTH SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "GINECOLOGO OBSTETRA",
        "authorized_official_telephone_number": "787-734-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "13083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juncos, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.