NPIMap

Organization Active NPI

Centro Medico del Turabo Inc

Doing business as Grupo OB GYN Fajardo

  • Obstetrics & Gynecology Physician
  • Fajardo, PR
National Provider Identifier
1205052248
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8463 Issued in PR
Legal business name
CENTRO MEDICO DEL TURABO INC
Doing business as
Grupo OB GYN Fajardo
Practice address
Hima San Pablo Fajardo
Ave General Valero 404
Fajardo, PR 00738
Phone
(787) 655-0505
Fax
(787) 655-5086
NPI assigned
Apr 18, 2007
Last updated
Aug 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Mr. Orlando Rivera, LCDO
Title
Executive Director
Phone
(787) 653-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 8463 PR Primary

Addresses

Primary practice location

Hima San Pablo Fajardo
Ave General Valero 404
Fajardo, PR 00738

Mailing address

PO Box 4980
Caguas, PR 00726-4980
Phone (787) 653-3434

Other identifiers 9

IdentifierTypeStateIssuer
MEDICAL LICENSEOtherPR15942
MEDICAL LICENSEOtherPR13165
MEDICAL LICENSEOtherPR4675
MEDICAL LICENSEOtherPR13961
MEDICAL LICENSEOtherPR5326
MEDICAL LICENSEOtherPR9891
MEDICAL LICENSEOtherPR8463
MEDICAL LICENSEOtherPR14791
MEDICAL LICENSEOtherPR5654

Other names 1

  • GRUPO OB GYN FAJARDO Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1205052248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4980",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264980",
            "telephone_number": "787-653-3434",
            "fax_number": "787-653-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA SAN PABLO FAJARDO",
            "address_2": "AVE GENERAL VALERO 404",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-655-0505",
            "fax_number": "787-655-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO DEL TURABO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-653-3434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "8463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "15942",
            "identifier": "MEDICAL LICENSE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "13165",
            "identifier": "MEDICAL LICENSE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4675",
            "identifier": "MEDICAL LICENSE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "13961",
            "identifier": "MEDICAL LICENSE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5326",
            "identifier": "MEDICAL LICENSE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9891",
            "identifier": "MEDICAL LICENSE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8463",
            "identifier": "MEDICAL LICENSE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "14791",
            "identifier": "MEDICAL LICENSE",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5654",
            "identifier": "MEDICAL LICENSE",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRUPO OB GYN FAJARDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.