Advanced Professional OB/GYN, PSC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

13460 Issued in PR

Legal business name

ADVANCED PROFESSIONAL OB/GYN, PSC

Practice address

El Monte Mall Shopping Center Suite 3225
652 Ave Munoz-Rivera
San Juan, PR 00918

Phone

(787) 751-6210

NPI assigned

Jun 9, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roberto F Lopez-Rosario, M.D.

Title

Sr

Phone

(787) 751-6210

Specialties & licenses 2

Addresses

Locations

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.

• Isabel Cristina Betancourt-Gomez, M.D.

  • Pediatrics Physician
  • San Juan, PR
  • NPI 1841294667
  NPD (past)
• Juan Carlos Rivera-Concepcion, M.D.

  • Obstetrics & Gynecology Physician
  • Cayey, PR
  • NPI 1902800709
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760486575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 493",
            "address_2": "PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-751-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EL MONTE MALL SHOPPING CENTER SUITE 3225",
            "address_2": "652 AVE MUNOZ-RIVERA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-751-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PROFESSIONAL OB/GYN, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-ROSARIO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SR",
        "authorized_official_telephone_number": "787-751-6210",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "13838",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "13460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Psychoeducational Services Inc
• Advanced Radiology Group
• Advanced Surgical Center PSC
• Advanced Technonuclear Imaging Center Inc
• Advancedermatology and Skin Cancer Center, PSC

• Obstetrics & Gynecology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.