Active NPI
Optima GYN LLC
- Obstetrics & Gynecology Physician
- San Juan, PR
National Provider Identifier
1336894286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryLocations
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.