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NPI Code Detail

MEDICARE: A & B OB-GYN GROUP

MEDICARE: A & B OB-GYN GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist11317PR

General Provider Information

NPI Number : 1053635623
Entity Type Code : Organization
Provider Name (Legal Business Name) : A & B OB-GYN GROUP
Provider Business Mailing Address
First Line : PO BOX 6247
Second Line : LOIZA ST. STATION
City : SAN JUAN
State : PR
Zip : 00914-6247
Country : US
Telephone Number : 787-757-0820
Fax Number : 787-768-1900
Provider Business Practice Location Address
First Line : 312 AVE DE DIEGO
Second Line : MUSEUM TOWER
City : SANTURCE
State : PR
Zip : 00909-1756
Country : US
Telephone Number : 787-757-0820
Fax Number : 787-768-1900
Authorized Official
Title or Position : OWNER
Name : DR. EDGARDO J APONTE
Credential : M.D.
Telephone Number : 787-757-0820
Provider Enumeration Date : 03/25/2010
Last Update Date : 03/25/2010

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Directions to “A & B OB-GYN GROUP ” Practice Location

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