# COOPERATIVA DE MEDICOS OBSTETRAS GINECOLOGOS DE PUERTO RICO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OBGYNCOOP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184325508
- **Authorized official:** MR. NESTOR W CARPENZANO (ADMINISTRATOR)
- **Authorized official phone:** (787) 433-7366

## Contact information

- **Practice address:** 1250 AVE PONCE DE LEON, SAN JUAN, PR 00907-3949
- **Practice address phone:** (787) 433-7366
- **Practice address fax:** (787) 295-4822
- **Mailing address:** PO BOX 9781, SAN JUAN, PR 00908-0781
- **Mailing address phone:** (787) 433-7366
- **Mailing address fax:** (787) 295-4822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2023
- **Last updated:** 03/13/2023