Provider Demographics
NPI:1841068764
Name:OBGYNIUS LLC
Entity type:Organization
Organization Name:OBGYNIUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZASKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-585-7532
Mailing Address - Street 1:32 CALLE CEIBA
Mailing Address - Street 2:MANSION DEL SUR
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:US
Mailing Address - Phone:787-585-7532
Mailing Address - Fax:
Practice Address - Street 1:880 AVE TITO CASTRO STE 102
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4733
Practice Address - Country:US
Practice Address - Phone:787-651-6121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty