SOUTH PRIME OB-GYN LLC


Address: Hospital Damas, 2213 Ponce Bypass, Ponce, PR 00717
Phone: 7876339260

SOUTH PRIME OB-GYN LLC (NPI# 1023664042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023664042
Entity Type Organization
Organization Name SOUTH PRIME OB-GYN LLC
Practice Address Hospital Damas
2213 Ponce Bypass
Ponce
PR 00717
Mailing Address 1124 Ave Munoz Rivera
Ponce
PR 00717-0643
Practice Telephone 7876339260
Mailing Telephone 7876339260
Enumeration Date 2019-08-15
Last Update Date 2019-08-15
Authorized Official Name DR. LENNY G PAGAN (PRESIDENT)
Authorized Official Telephone 7876339260
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
South Prime OB-GYN Former Legal Business Name - Organization

Office Location

Street Address HOSPITAL DAMAS
2213 PONCE BYPASS
City PONCE
State PR
Zip Code 00717

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194784959 Neixa L Nazario Pediatrics Hospital Damas, 2213 Ponce By Pass 5th Floor, Ponce, PR 00717-1318 2006-03-21
1457636995 Nestor Maisonet Internal Medicine Hospital Damas, 2225 Ponce Byp, Ponce, PR 00717 2011-10-17
1033398946 Maria Rivera Pharmacy Technician Hospital Damas, Carr2 # 32, Ponce, PR 00731 2007-10-26
1114077021 Ernesto Rene Soltero Thoracic Surgery (Cardiothoracic Vascular Surgery) Hospital Damas, 2213 Ponce Bypass, Ponce, PR 00717 2007-01-11
1881755122 Glorimar Velazquez Anesthesiology Hospital Damas, 2213 Ponce Bypass, Ponce, PR 00716-2232 2006-12-12
1821180647 Jorge L Guzman Villaronga Emergency Medicine Hospital Damas, 2213 Ponce Bypass, Ponce, PR 00717-1318 2006-09-29
1225086739 Hilda Nora Lopez Flores Anesthesiology Hospital Damas, Ponce By Pass, Ponce, PR 00733 2006-05-05
1851349369 Manuel Santiago Cummings Anesthesiology Hospital Damas, Ponce, PR 00733 2006-05-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881202513 Anthony Ramirez Sanchez Counselor Edf Porrata Pila Suite 208, 2431 Blvd Luis A Ferre, Ponce, PR 00717 2020-07-20
1255967444 Marilia Padua Quiles Psychologist 1805 Paseo La Colonia Ste 2, Urb. Constancia Codech Office Park, Ponce, PR 00717 2020-03-19
1598399446 Zadia Y Rodriguez Dietitian, Registered Urb. Constancia 2706, Ave. Las Americas, Ponce, PR 00717 2020-03-01
1154953412 Centro Creando Camino De Vida LLC. Occupational Therapy Assistant Edificio Ponciana 9140 Calle Marina Oficina 507, Ponce, PR 00717 2020-02-05
1295375905 For Eyes Optical of Puerto Rico, LLC Eyewear Supplier (Equipment, not the service) 2050 Ponce By Pass Ste 111, Ponce, PR 00717 2020-01-10
1316582216 Krystina D Garay Case Management 8169 Cond San Vicente Calle Concordia, Suite 412, Ponce, PR 00717 2019-11-14
1982255097 Javier Alejandro Carmona-morales Pharmacist Carr. #2 Ponce By Pass, San Jorge Mall, Ponce, PR 00717 2019-09-20
1043867492 Hope Center LLC Clinic/Center Edificio Porrata Pila, 2431 Blvd Luis A Ferre Suite 208, Ponce, PR 00717 2019-08-21
1174185201 Suhail Milagros Padilla Physician Assistant 7451 Calle Perpetuo Socorro, Urb Santa Maria, Ponce, PR 00717 2019-06-28
1255991493 Jorge E Sanchez Rivera Social Worker 2680 Calle Las Carrozas, Urb Perla Del Sur, Ponce, PR 00717 2019-06-19
Find all providers in zip 00717

Taxonomy Information

Taxonomy Code 207VX0000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Obstetrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841534823 Lisandra Cordero Nieves Obstetrics & Gynecology Pr 505 Km 1.0 Urb Glenview Gardens, Glenview Gardens Shopping Center Local #4, Ponce, PR 00731 2012-11-15
1285630749 Jose A Garcia-vicario Obstetrics & Gynecology Condominio Concordia, 8129 Calle Concordia Suite 201, Ponce, PR 00717-1550 2005-06-21
1730637471 Caribbean Womens Health Institute Csp Obstetrics & Gynecology Pr 505 Km 1.0 Urb Glenview Gardens, Glenview Gardens Shopping Center Local #4, Ponce, PR 00731 2016-09-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265841878 Egos Medical Group, Psc Obstetrics & Gynecology Hima Plaza Suite 505, Ave. Luis Munoz Marin 53, Caguas, PR 00726 2014-08-07
1780877092 Yurizam Ramirez Obstetrics & Gynecology A10 Calle Villa Acacia, El Plantio, Toa Baja, PR 00949-4456 2007-08-20
1932301207 Jose A Colon Martinez Obstetrics & Gynecology C Jose C Vazquez, Aibonito, PR 00705 2007-05-31
1396950689 Luis E Vazquez Zayas Obstetrics & Gynecology Calle Domingo Caceres, Numero 59 Este, Carolina, PR 00984 2007-05-11
1265651889 Cpp Gyn Group Corp. Obstetrics & Gynecology Buen Samaritano Hospital, Level G Office 9, Aguadilla, PR 00605 2007-04-24
1952483489 Ceski, Inc. Obstetrics & Gynecology 602 Jose Vicente Rodriguez, Penuelas, PR 00624-0602 2006-10-20
1285715326 Juan A Tosado Polanco Obstetrics & Gynecology Urb La Hacienda Avenida Albizu Campos, Hospital Menonita Suite 209, Guayama, PR 00784 2006-10-17
1669562112 Centro-gineco Obstetrico Dr Luis E. Vazquez Zayas C.s.p. Obstetrics & Gynecology Edif. Lorenzo Vizcarrondo C-1, Calle Ignacio Arzuaga, Esq. Munoz Rivera, Carolina, PR 00985 2006-10-13
1104915909 Rafael L Mendez-rodriguez Obstetrics & Gynecology 24 Calle Mattei Lluberas, Yauco, PR 00698-3814 2006-10-12
1336238344 Jose Alvarez Obstetrics & Gynecology 1200 Ave Ponce De Leon, San Juan, PR 00907-3918 2006-10-11
Find all providers with the same taxonomy

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City PONCE
Zip Code 00717

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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