Provider Demographics
NPI:1033262480
Name:ESTUDIO DE GINECOLOGIA Y OBSTETRICIA
Entity Type:Organization
Organization Name:ESTUDIO DE GINECOLOGIA Y OBSTETRICIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-743-4547
Mailing Address - Street 1:PO BOX 6059
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6059
Mailing Address - Country:US
Mailing Address - Phone:787-743-4547
Mailing Address - Fax:787-743-1218
Practice Address - Street 1:URBANIZACION PARADIS C-2
Practice Address - Street 2:CARR. PR 189, ESQ. BALDORIOTY
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-4547
Practice Address - Fax:787-743-1218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6243174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty