Organization Active NPI

Centro Obstetrico Y Ginecologico Incorporado

  • Exclusive Provider Organization
  • Guayama, PR
National Provider Identifier
1184039141
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CENTRO OBSTETRICO Y GINECOLOGICO INCORPORADO
Practice address
B9 Ave Los Veteranos
Urb Villa Rosa III
Guayama, PR 00784
Phone
(787) 930-0565
Fax
(787) 465-0586
NPI assigned
Jun 27, 2014
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Ruben Guadalupe Burgos, M.D.
Title
President
Phone
(787) 530-6219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NU Primary

Addresses

Primary practice location

B9 Ave Los Veteranos
Urb Villa Rosa III
Guayama, PR 00784

Mailing address

PO Box 4956
PMB 484
Caguas, PR 00726-4956
Phone (787) 930-0565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1184039141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4956",
            "address_2": "PMB 484",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264956",
            "telephone_number": "787-930-0565",
            "fax_number": "787-465-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B9 AVE LOS VETERANOS",
            "address_2": "URB VILLA ROSA III",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-930-0565",
            "fax_number": "787-465-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO OBSTETRICO Y GINECOLOGICO INCORPORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "GUADALUPE BURGOS",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-530-6219",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.