Dr. Obed Perez Gonzalez CSP

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

9517 Issued in PR

Legal business name

DR. OBED PEREZ GONZALEZ CSP

Practice address

100 Ave. Hernan Alvarez
Plaza Metropolitana Suite 207
San German, PR 00683

Phone

(787) 892-0944

Fax

(787) 892-0944

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Obed Perez Gonzalez, MDNPI 1255420444

Title

President

Phone

(787) 892-0944

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Obed Perez-Gonzalez, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San German, PR
  • NPI 1255420444
  NPD (past) Authorized official

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1134598378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830473",
            "telephone_number": "787-892-0944",
            "fax_number": "787-892-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE. HERNAN ALVAREZ",
            "address_2": "PLAZA METROPOLITANA SUITE 207",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-0944",
            "fax_number": "787-892-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. OBED PEREZ GONZALEZ CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ GONZALEZ",
        "authorized_official_first_name": "OBED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-892-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "9517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "84236",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wigmar Diaz Ramos, PH D
• Yaileen M Diaz Torres, SLP
• Dominguez Medical Service
• Dr Armando a. Doval Ortes CSP
• Dr. Axel W. Velez Santiago CSP
• Dr. Pablo Soto Soto, CSP
• Dra. Karinell Montalvo Nazario LLC
• DSC Nursing Services
• Edgardo Vega Inc.
• Elite Pulmonary Care Center PSC

• Medical Specialty Clinic/Center in San German, PR
• Providers in San German, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.