Organization Active NPI

Obstetrics and Gynecology Health Center LLC

  • Obstetrics Physician
  • Ponce, PR
National Provider Identifier
1992586481
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
OBSTETRICS AND GYNECOLOGY HEALTH CENTER LLC
Practice address
1255 Paseo Las Monjitas
Suite M161 Ave Tito Castro
Ponce, PR 00730
Phone
(787) 651-7816
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Sara I Montalvo-Medina, MDNPI 1003125022
Title
Authorized Official
Phone
(787) 467-2259

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 Primary

Addresses

Primary practice location

1255 Paseo Las Monjitas
Suite M161 Ave Tito Castro
Ponce, PR 00730

Mailing address

1255 Paseo Las Monjitas Suite M161
Ave Tito Castro
Ponce, PR 00730
Phone (787) 651-7816

Other practice location 1

Carr 121 Sector Cuatro Calles Oficina #7
Yauco, PR 00698
Phone (787) 437-1965

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240506004687 PR Part B Supplier - Clinic/Group Practice 0244670396 Receives reassigned benefits from 1 practitioner
Practice locations: Yauco, PR; Ponce, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1992586481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 PASEO LAS MONJITAS SUITE M161",
            "address_2": "AVE TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-651-7816",
            "fax_number": "787-651-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 PASEO LAS MONJITAS",
            "address_2": "SUITE M161 AVE TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-651-7816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CARR 121 SECTOR CUATRO CALLES OFICINA #7",
            "address_purpose": "LOCATION",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "country_code": "US",
            "telephone_number": "787-437-1965",
            "fax_number": "787-437-1966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OBSTETRICS AND GYNECOLOGY HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "MONTALVO-MEDINA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "787-467-2259",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "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 Oct 10, 2023; 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.