Caribbean Urogynecology Associates PSC
Organization Active NPI Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Guaynabo, PR
NPI 1699004366 · NPPES record last updated Aug 31, 2012
Key facts
- NPI
- 1699004366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
- License
- 16233 (PR)
- Legal business name
- CARIBBEAN UROGYNECOLOGY ASSOCIATES PSC
- Practice address
- 101 Ave San Patricio
Maramar Plaza Suite 1090
Guaynabo, PR 00968-2645 - Phone
- (787) 414-8777
- Fax
- (787) 963-0729
- NPI assigned
- Dec 9, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Jimmy J Julia-Martinez, MD
- Title
- President
- Phone
- (787) 414-8777
Practitioners 1
-
Jimmy J Julia-Martinez, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100518000377 | PR | Part B Supplier - Clinic/Group Practice | 1052440740 |
Receives reassigned benefits from 1 practitioner Practice locations: Guaynabo, PR |
National Provider Directory
Locations
101 Ave San Patricio
Ste 1090
Guaynabo, PR 00968
Phone (787) 414-8777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
207VF0040X | 16233 | PR | Yes |
Addresses
Primary practice location
101 Ave San Patricio
Maramar Plaza Suite 1090
Guaynabo, PR 00968-2645
Mailing address
101 Ave San Patricio
Maramar Plaza Suite 1090
Guaynabo, PR 00968-2645
Phone (787) 414-8777
Other providers in Guaynabo, PR
- Lee Cardona
- Care Plus PR LLC
- Carepoint
- Caribbean Cardiothoracic Surgery Services, P.S.C.
- Caribbean Orthopedics of Puerto Rico LLC
- Caribe Pharmacy Holdings, LLC
- Caribe Pharmacy Management LLC
- Caribe Pharmacy Management LLC
- Caribe Pharmacy Management LLC
- Caribe Pharmacy Management LLC
All providers in Guaynabo, PR · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.