Organization Active NPI

Cooperativa de Medicos Obstetras Ginecologos de Puerto Rico

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1184325508
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COOPERATIVA DE MEDICOS OBSTETRAS GINECOLOGOS DE PUERTO RICO
Practice address
1250 Ave Ponce de Leon
San Juan, PR 00907-3949
Phone
(787) 433-7366
Fax
(787) 295-4822
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Mr. Nestor W Carpenzano
Title
Administrator
Phone
(787) 433-7366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1250 Ave Ponce de Leon
San Juan, PR 00907-3949

Mailing address

PO Box 9781
San Juan, PR 00908-0781
Phone (787) 433-7366

Other names 1

  • OBGYNCOOP Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1184325508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9781",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009080781",
            "telephone_number": "787-433-7366",
            "fax_number": "787-295-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073949",
            "telephone_number": "787-433-7366",
            "fax_number": "787-295-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVA DE MEDICOS OBSTETRAS GINECOLOGOS DE PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "CARPENZANO",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-433-7366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBGYNCOOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.