# GYNSTETRICS OF PUERTO RICO LLC

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

## Provider details

- **NPI number:** 1205614260
- **Authorized official:** DR. OCTAVIO SANTIAGO SANTANA MD (PRESIDENT)
- **Authorized official phone:** (787) 717-6480

## Contact information

- **Practice address:** 611 CALLE PAVIA FERNANDEZ, STE 204-205, SAN JUAN, PR 00909-2243
- **Practice address phone:** (787) 727-4333
- **Mailing address:** 405 AVE ESMERALDA, STE 2 PMB 311, GUAYNABO, PR 00969

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2023
- **Last updated:** 03/13/2026