Provider Demographics
NPI:1578772042
Name:ASSOCIATES OF CARIBBEAN ADVANCED OB-GYN GROUP
Entity Type:Organization
Organization Name:ASSOCIATES OF CARIBBEAN ADVANCED OB-GYN GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:RODRIGUEZ GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-878-1911
Mailing Address - Street 1:PO BOX 742
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0742
Mailing Address - Country:US
Mailing Address - Phone:787-878-1911
Mailing Address - Fax:787-878-1911
Practice Address - Street 1:CARRETERA 129
Practice Address - Street 2:HOSPITAL DR. CAYETANO COLL Y TOSTE
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-650-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83902CAOtherTRIPLE S, INC PROVIDER NO