NPIMap

Organization Active NPI

Mogic OB-GYN PSC

  • Obstetrics & Gynecology Physician
  • Manati, PR
National Provider Identifier
1285928770
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MOGIC OB-GYN PSC
Practice address
MMC Professional Plaza
Suites 206 & 207
Manati, PR 00674
Phone
(787) 621-4949
NPI assigned
Jun 2, 2011
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Dr. Axel Torres, M.D.NPI 1366550972
Title
MD
Phone
(787) 452-2410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

MMC Professional Plaza
Suites 206 & 207
Manati, PR 00674

Mailing address

PO Box 1087
Manati, PR 00674-1087
Phone (787) 452-2410

Other practice location 1

468 Camino de la Vega
Sabanera Dorado
Dorado, PR 00646-3936
Phone (787) 452-2410

Other practice location 2

Bo. Higuillar Carr. 695 Km. 1.9
Doraville
Dorado, PR 00646
Phone (787) 408-3030

Other practice location 3

Marginal Car. Num. 2
Km 84 Bo. Carrizales
Hatillo, PR 00659
Phone (787) 621-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180925002636 PR Part B Supplier - Clinic/Group Practice 3476804709 Receives reassigned benefits from 12 practitioners
Practice locations: Manati, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1285928770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741087",
            "telephone_number": "787-452-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMC PROFESSIONAL PLAZA",
            "address_2": "SUITES 206 & 207",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "468 Camino de la Vega",
            "address_2": "Sabanera Dorado",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "006463936",
            "country_code": "US",
            "telephone_number": "787-452-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Bo. Higuillar Carr. 695 Km. 1.9",
            "address_2": "Doraville",
            "address_purpose": "LOCATION",
            "city": "Dorado",
            "state": "PR",
            "postal_code": "00646",
            "country_code": "US",
            "telephone_number": "787-408-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Marginal Car. Num. 2",
            "address_2": "Km 84 Bo. Carrizales",
            "address_purpose": "LOCATION",
            "city": "Hatillo",
            "state": "PR",
            "postal_code": "00659",
            "country_code": "US",
            "telephone_number": "787-621-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOGIC OB-GYN PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "AXEL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-452-2410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.