Organization Active NPI

Family OB-GYN Group PSC

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1588094189
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6403 Issued in PR
Legal business name
FAMILY OB-GYN GROUP PSC
Practice address
Rio Piedras Heights Mall
1729 Segre
San Juan, PR 00926-3181
Phone
(787) 758-1910
Fax
(787) 751-4812
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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

Authorized official

Name
Mr. Carlos J Marrero Arroyo, M.D.NPI 1467426874
Title
President
Phone
(787) 568-1225

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 & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 6403 PR Primary

Addresses

Primary practice location

Rio Piedras Heights Mall
1729 Segre
San Juan, PR 00926-3181

Mailing address

138 Ave Winston Churchill
PMB 315
San Juan, PR 00926-6023
Phone (787) 758-1910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140305000946 PR Part B Supplier - Clinic/Group Practice 6305076738 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

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": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1588094189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 AVE WINSTON CHURCHILL",
            "address_2": "PMB 315",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266023",
            "telephone_number": "787-758-1910",
            "fax_number": "787-751-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIO PIEDRAS HEIGHTS MALL",
            "address_2": "1729 SEGRE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263181",
            "telephone_number": "787-758-1910",
            "fax_number": "787-751-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OB-GYN GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "MARRERO ARROYO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-568-1225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "6403",
            "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 Feb 6, 2014; 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.