Island Gynecologic Oncology LLC

Primary specialty

Gynecologic Oncology PhysicianTaxonomy code 207VX0201X

Legal business name

ISLAND GYNECOLOGIC ONCOLOGY LLC

Practice address

Torre Auxilio Mutuo Ave Ponce de Leon 715
Suite 812
San Juan, PR 00918

Phone

(787) 509-9970

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Fiorella E Reyes Baez

Title

Owner

Phone

(787) 509-9970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1174397251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CALLE CESAR GONZALEZ APT 701",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183903",
            "telephone_number": "787-509-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE AUXILIO MUTUO AVE PONCE DE LEON 715",
            "address_2": "SUITE 812",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-509-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND GYNECOLOGIC ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "REYES BAEZ",
        "authorized_official_first_name": "FIORELLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-509-9970",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecologic Oncology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Gynecologic Oncology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.