Individual provider Active NPI

Jose V Somohano, MD

  • Obstetrics & Gynecology Physician
  • San Juan, PR
National Provider Identifier
1700917655
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12040 Issued in PR
Practice address
652 Ave Munoz Rivera Ste 2065
Ave Munos Rivera 652
San Juan, PR 00918-4079
Phone
(787) 756-0100
Fax
(787) 756-0103
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12040 PR Primary

Addresses

Primary practice location

652 Ave Munoz Rivera Ste 2065
Ave Munos Rivera 652
San Juan, PR 00918-4079

Mailing address

PO Box 193467
San Juan, PR 00919-3467
Phone (787) 756-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001330 PR Practitioner - Obstetrics/Gynecology 2264416064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12040PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somohano OB GYN Services, PSC Obstetrics & Gynecology CurrentSince Sep 18, 2019 Accepting new patients
Grupo Obstetrico Integrado Past Accepting new patients

Locations

652 Ave Munoz Rivera
Ste 2065
San Juan, PR 00918
Phone (787) 756-0100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700917655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193467",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193467",
            "telephone_number": "787-756-0100",
            "fax_number": "787-756-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 AVE MUNOZ RIVERA STE 2065",
            "address_2": "AVE MUNOS RIVERA 652",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009184079",
            "telephone_number": "787-756-0100",
            "fax_number": "787-756-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMOHANO",
        "first_name": "JOSE",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "12040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.