Organization Active NPI

Miramar OB-GYN Service PSC

  • Obstetrics & Gynecology Physician
  • Quebradillas, PR
National Provider Identifier
1306091202
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9134 Issued in PR
Legal business name
MIRAMAR OB-GYN SERVICE PSC
Practice address
206 Calle San Justo
Quebradillas, PR 00678-1740
Phone
(787) 895-4964
Fax
(787) 895-4964
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Jorge Martir, M.D.
Title
OB-GYN
Phone
(787) 895-4964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 9134 PR Primary

Addresses

Primary practice location

206 Calle San Justo
Quebradillas, PR 00678-1740

Mailing address

206 Calle San Justo
Quebradillas, PR 00678-1740
Phone (787) 895-4964

National Provider Directory

National Provider Directory

Locations

206 Calle San Justo
Quebradillas, PR 00678
Phone (787) 895-2475

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1306091202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CALLE SAN JUSTO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781740",
            "telephone_number": "787-895-4964",
            "fax_number": "787-895-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CALLE SAN JUSTO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781740",
            "telephone_number": "787-895-4964",
            "fax_number": "787-895-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR OB-GYN SERVICE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "MARTIR",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OB-GYN",
        "authorized_official_telephone_number": "787-895-4964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "9134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.