# GRUPO GINECO-OBSTETRICO DEL NORTE PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013013465
- **Authorized official:** GISELLE M TRILLO (BILLING/ADMINISTRATOR)
- **Authorized official phone:** (787) 413-4896

## Contact information

- **Practice address:** 66 CALLE GEORGETTI, SAN JUAN, PR 00925
- **Practice address phone:** (787) 765-4208
- **Mailing address:** 66 CALLE GEORGETTI, SAN JUAN, PR 00925
- **Mailing address phone:** (787) 765-4208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 09/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 28009 | SSS | PR |