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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Prime OB-GYN | Former Legal Business Name - Organization |
| Street Address |
HOSPITAL DAMAS 2213 PONCE BYPASS |
| City | PONCE |
| State | PR |
| Zip Code | 00717 |
| 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 |
| 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 Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| 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 |
| 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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| 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.