Organization Active NPI

Gynstetrics of Puerto Rico LLC

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1205614260
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Mar 13, 2026

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.