Organization Active NPI

Women'S Healthcare of Port St Lucie LLC

  • Obstetrics Physician
  • Port St Lucie, FL
National Provider Identifier
1407882194
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
WOMEN'S HEALTHCARE OF PORT ST LUCIE LLC
Practice address
1696 SE Hillmoor Dr
Suite a
Port St Lucie, FL 34952-7699
Phone
(772) 337-4600
Fax
(772) 337-7600
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Gonzalo A Oria, M.D.
Title
Physician
Phone
(772) 337-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

1696 SE Hillmoor Dr
Suite a
Port St Lucie, FL 34952-7699

Mailing address

1696 SE Hillmoor Dr
Suite a
Port St Lucie, FL 34952-7699
Phone (772) 337-4600

Other identifiers 2

IdentifierTypeStateIssuer
AA578OtherFLMEDICARE
77952OtherFLBCBSFL

National Provider Directory

National Provider Directory

Locations

1696 SE Hillmoor Dr
Ste B
Port St Lucie, FL 34952
Phone (772) 288-2992

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1407882194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR",
            "address_2": "SUITE A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-337-4600",
            "fax_number": "772-337-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 SE HILLMOOR DR",
            "address_2": "SUITE A",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527699",
            "telephone_number": "772-337-4600",
            "fax_number": "772-337-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTHCARE OF PORT ST LUCIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ORIA",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-337-4600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AA578",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "77952",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.