Individual provider Active NPI

Oscar Osorio, MD

  • Obstetrics & Gynecology Physician
  • Carolina, PR
National Provider Identifier
1346245644
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME100754 Issued in FL
Practice address
6470 Ave Isla Verde Ste 1
Carolina, PR 00979-7160
Phone
(787) 276-2000
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME100754 FL Primary

Addresses

Primary practice location

6470 Ave Isla Verde Ste 1
Carolina, PR 00979-7160

Mailing address

6470 Ave Isla Verde Ste 1
Carolina, PR 00979-7160
Phone (787) 276-2000

Other identifiers 2

IdentifierTypeStateIssuer
13296OtherPRJUNTA DE LICENCIAMIENTO Y DISCIPLINA DE PR
ME100784OtherFLMEDICAL LICENSE

Other names 1

  • Oscar Osorio Cano Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061130000407 PR Practitioner - Obstetrics/Gynecology 5092713909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University Central del Caribe Escuela de Medicina, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2145
Phone (787) 641-1616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME100754FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Reef CurrentSince Jun 13, 2023 Accepting new patients
San Juan Pelvic Medicine Center, P.S.C. Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients

Locations

6470 Ave Isla Verde
#1
Carolina, PR 00979
Phone (787) 276-2000

1462 Calle Prof Augusto Rodriguez
Santurce, PR 00909
Phone (787) 238-2602

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1346245644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 AVE ISLA VERDE STE 1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009797160",
            "telephone_number": "787-276-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 AVE ISLA VERDE STE 1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009797160",
            "telephone_number": "787-276-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSORIO",
        "first_name": "OSCAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME100754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA DE LICENCIAMIENTO Y DISCIPLINA DE PR",
            "identifier": "13296",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME100784",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OSCAR",
            "last_name": "OSORIO CANO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.