MEDICARE: BLISS OB-GYN

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
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1215808415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLISS OB-GYN

Provider Business Mailing Address
First Line	:	1019 AVE LUIS VIGOREAUX
Second Line	:	COND. DORAL PLAZA, APT 5J
City	:	GUAYNABO
State	:	PR
Zip	:	00966
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 AVE. ALBOLOTE
Second Line	:	PLAZA REAL SHOPPING CENTER SUITE 307
City	:	GUAYNABO
State	:	PR
Zip	:	00969
Country	:	US
Telephone Number	:	787-408-7627
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. INDIRA J. PELET RIVERA
Credential	:	MD
Telephone Number	:	787-408-7627

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	01/06/2026

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