Provider Demographics
NPI:1164948766
Name:PERINATOLOGY GROUP PSC
Entity Type:Organization
Organization Name:PERINATOLOGY GROUP PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:ALVAREZ PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-430-9367
Mailing Address - Street 1:PO BOX 8206
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-8206
Mailing Address - Country:US
Mailing Address - Phone:787-653-3903
Mailing Address - Fax:787-258-4587
Practice Address - Street 1:HOPITAL HIMA CAGUAS
Practice Address - Street 2:ESQUINA DEGETAU
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-3903
Practice Address - Fax:787-258-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207VM0101X
NJ16862207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty