Complex GYN LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

COMPLEX GYN LLC

Practice address

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

Phone

(787) 945-2919

NPI assigned

Jul 30, 2024

Last updated

Sep 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gabriella Rivera, MD

Title

President

Phone

(787) 479-9283

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriella Rivera Ortiz, MD

  • Obstetrics & Gynecology Physician
  • San Juan, PR
  • NPI 1366972929
  Medicare reassignment NPD

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1487483178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE MUNOZ RIVERA STE 217",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183366",
            "telephone_number": "787-479-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-945-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEX GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "GABRIELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-479-9283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keniamarie Comas, MSW
• Commonwealth Health LLC (Fitzgeraldo Sanchez MD)
• Community Hospice, Inc.
• Community Radiology Services Inc (Magda Costa Soto MD)
• Complejo Medico Social Home Care
• Comprehenensive Geriatric Care of San Juan
• Comprehensive Cancer Specialists
• Comprehensive Center of Behavior and Neuroscience Inc
• Luzimar Conaway, MD
• Jose Antonio Concepcion Delgado

• Gynecology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.