Organization Active NPI

Primary Care & OB GYN

  • Obstetrics Physician
  • San Juan, PR
National Provider Identifier
1396950283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
13060 Issued in PR
Legal business name
PRIMARY CARE & OB GYN
Practice address
735 Ave Ponce de Leon
Suite 710
San Juan, PR 00917-5022
Phone
(787) 753-1777
Fax
(787) 753-1820
NPI assigned
May 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jose R Flores Caban, M.D.NPI 1386650562
Title
Presidente
Phone
(787) 753-1777

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 13060 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon
Suite 710
San Juan, PR 00917-5022

Mailing address

735 Ave Ponce de Leon
Suite 710
San Juan, PR 00917-5022
Phone (787) 753-1777

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 710
San Juan, PR 00917
Phone (787) 753-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396950283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "SUITE 710",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-753-1777",
            "fax_number": "787-753-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "SUITE 710",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-753-1777",
            "fax_number": "787-753-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE & OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORES CABAN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-753-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PR",
            "license": "13060",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.