Organization Active NPI

Caribbean Womens Health Institute CSP

  • Obstetrics Physician
  • Ponce, PR
National Provider Identifier
1730637471
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
19375 Issued in PR
Legal business name
CARIBBEAN WOMENS HEALTH INSTITUTE CSP
Practice address
PR 505 KM 1.0 Urb Glenview Gardens
Glenview Gardens Shopping Center Local #4
Ponce, PR 00731
Phone
(787) 812-3153
Fax
(787) 844-3003
NPI assigned
Sep 12, 2016
Last updated
Mar 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Authorized official

Name
Lisandra Cordero NievesNPI 1841534823
Title
MD
Phone
(787) 812-3153

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 19375 PR Primary

Addresses

Primary practice location

PR 505 KM 1.0 Urb Glenview Gardens
Glenview Gardens Shopping Center Local #4
Ponce, PR 00731

Mailing address

PO Box 102
Mercedita, PR 00715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161119000282 PR Part B Supplier - Clinic/Group Practice 8628357357 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Isabel, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1730637471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "00715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR 505 KM 1.0 URB GLENVIEW GARDENS",
            "address_2": "GLENVIEW GARDENS SHOPPING CENTER LOCAL #4",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00731",
            "telephone_number": "787-812-3153",
            "fax_number": "787-844-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBBEAN WOMENS HEALTH INSTITUTE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "CORDERO NIEVES",
        "authorized_official_first_name": "LISANDRA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-812-3153"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PR",
            "license": "19375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.