NPIMap

Organization Active NPI

Equipo Ginecologico Y Obstetrico de Salud,P.S.C.

  • Obstetrics & Gynecology Physician
  • Caguas, PR
National Provider Identifier
1821021213
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
EQUIPO GINECOLOGICO Y OBSTETRICO DE SALUD,P.S.C.
Practice address
66 Ave Degetau Apt 500
Hima Plaza I Suite 505
Caguas, PR 00725-5844
Phone
(787) 744-5414
Fax
(787) 258-4587
NPI assigned
Jul 8, 2006
Last updated
Apr 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Dr. Manuel A Navas Micheo, M.D., F.A.C.O.G.NPI 1790733426
Title
President
Phone
(787) 744-5414

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 & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

66 Ave Degetau Apt 500
Hima Plaza I Suite 505
Caguas, PR 00725-5844

Mailing address

158 Calle Font Martelo
Humacao, PR 00791-3337
Phone (787) 852-3560

Other names 1

  • E.G.O.S., P.S.C. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051128000179 PR Part B Supplier - Clinic/Group Practice 3779503412 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
Practice locations: Caguas, PR; Humacao, PR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Equipo Ginecologico Y Obstetrico de Saludpsc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

158 Calle Font Martelo
Humacao, PR 00791
Phone (787) 852-3538

Practitioners & affiliated clinicians

Practitioners 4

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1821021213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CALLE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913337",
            "telephone_number": "787-852-3560",
            "fax_number": "787-852-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 AVE DEGETAU APT 500",
            "address_2": "HIMA PLAZA I SUITE 505",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255844",
            "telephone_number": "787-744-5414",
            "fax_number": "787-258-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIPO GINECOLOGICO Y OBSTETRICO DE SALUD,P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "NAVAS MICHEO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-744-5414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.O.G."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.G.O.S., P.S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.