Active NPI
Gynstetrics of Puerto Rico LLC
- Obstetrics & Gynecology Physician
- San Juan, PR
National Provider Identifier
1205614260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- GYNSTETRICS OF PUERTO RICO LLC
- Practice address
- 611 Calle Pavia Fernandez
Ste 204-205
San Juan, PR 00909-2243 - Phone
- (787) 727-4333
- NPI assigned
- Sep 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Octavio Santiago Santana, MD
- Title
- President
- Phone
- (787) 717-6480
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
611 Calle Pavia Fernandez
Ste 204-205
San Juan, PR 00909-2243
Mailing address
405 Ave Esmeralda
Ste 2 PMB 311
Guaynabo, PR 00969
National Provider Directory
National Provider DirectoryLocations
611 Calle Pavia
Ste 204205
San Juan, PR 00909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1205614260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 AVE ESMERALDA",
"address_2": "STE 2 PMB 311",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 CALLE PAVIA FERNANDEZ",
"address_2": "STE 204-205",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092243",
"telephone_number": "787-727-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GYNSTETRICS OF PUERTO RICO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "SANTIAGO SANTANA",
"authorized_official_first_name": "OCTAVIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-717-6480",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.