Organization Active NPI

Optimum OB/GYN LLC

  • Specialist
  • San Juan, PR
National Provider Identifier
1659765899
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18058 Issued in PR
Legal business name
OPTIMUM OB/GYN LLC
Practice address
268 Ave Ponce de Leon
Hato Rey Center Ste. 1000
San Juan, PR 00918-2002
Phone
(787) 266-7261
Fax
(787) 266-7263
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Dr. Luis Javier Casiano, MD
Title
President
Phone
(787) 640-9530

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 18058 PR Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 17111 PR

Addresses

Primary practice location

268 Ave Ponce de Leon
Hato Rey Center Ste. 1000
San Juan, PR 00918-2002

Mailing address

268 Ave Ponce de Leon
Hato Rey Center Ste. 1000
San Juan, PR 00918-2002
Phone (787) 266-7261

National Provider Directory

National Provider Directory

Locations

268 Ave Ponce de Leon
Ste 1000
San Juan, PR 00918
Phone (787) 266-7261

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": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1659765899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 AVE PONCE DE LEON",
            "address_2": "HATO REY CENTER STE. 1000",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182002",
            "telephone_number": "787-266-7261",
            "fax_number": "787-266-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 AVE PONCE DE LEON",
            "address_2": "HATO REY CENTER STE. 1000",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182002",
            "telephone_number": "787-266-7261",
            "fax_number": "787-266-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM OB/GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "CASIANO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-640-9530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "18058",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "17111",
            "primary": false
        }
    ],
    "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 Mar 25, 2015; 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.