Organization Active NPI

Optima GYN LLC

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1336894286
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OPTIMA GYN LLC
Practice address
611 Calle Pavia Ste 203
San Juan, PR 00909-2242
Phone
(787) 433-2526
NPI assigned
Feb 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Dr. Soan Gily Cruz, MD
Title
President
Phone
(787) 307-0741

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary
Clinic/Center 261Q00000X
Adult Day Care Clinic/Center 261QA0600X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

611 Calle Pavia Ste 203
San Juan, PR 00909-2242

Mailing address

120 Ave Carlos Chardon Apt 129
San Juan, PR 00918-1721
Phone (787) 307-0741

National Provider Directory

National Provider Directory

Locations

611 Calle Pavia
Ste 203
San Juan, PR 00909
Phone (787) 433-2526

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1336894286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 AVE CARLOS CHARDON APT 129",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181721",
            "telephone_number": "787-307-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE PAVIA STE 203",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092242",
            "telephone_number": "787-433-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SOAN",
        "authorized_official_middle_name": "GILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-307-0741",
        "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
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 24, 2022; 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.