Organization Active NPI

Gyneco MD, PSC

  • Gynecology Physician
  • Bayamon, PR
National Provider Identifier
1558049031
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
GYNECO MD, PSC
Practice address
Bayamon Medical Plaza
1845 Carr 2 Ste 508
Bayamon, PR 00959-7204
Phone
(787) 798-5323
NPI assigned
Jul 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Dr. Laura Patricia Seda Rodriguez, MDNPI 1215422563
Title
Obstetrics and Gynecology
Phone
(787) 242-1628

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

Bayamon Medical Plaza
1845 Carr 2 Ste 508
Bayamon, PR 00959-7204

Mailing address

PO Box 8367
Bayamon, PR 00960-8367
Phone (787) 242-1628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926000008 PR Part B Supplier - Clinic/Group Practice 2365896388 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

1845 Carr 2
Ste 508
Bayamon, PR 00959
Phone (787) 798-5323

Practitioners & affiliated clinicians

Practitioners 2

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": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1558049031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8367",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608367",
            "telephone_number": "787-242-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA",
            "address_2": "1845 CARR 2 STE 508",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597204",
            "telephone_number": "787-798-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECO MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "SEDA RODRIGUEZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OBSTETRICS AND GYNECOLOGY",
        "authorized_official_telephone_number": "787-242-1628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.