Active NPI
Obstetrics and Gynecology Health Center LLC
- Obstetrics Physician
- Ponce, PR
National Provider Identifier
1992586481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara I Montalvo-Medina, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Ponce, PR
- NPI 1003125022
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.