# SAN JUAN PELVIC MEDICINE CENTER, P.S.C.

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

## Provider details

- **NPI number:** 1336210038
- **Authorized official:** OSCAR OSORIO M.D. (PRESIDENT)
- **Authorized official phone:** (787) 753-7174

## Contact information

- **Practice address:** 400 AVE DOMENECH, SUITE 205, SAN JUAN, PR 00918-3710
- **Practice address phone:** (787) 753-7174
- **Practice address fax:** (787) 758-6116
- **Mailing address:** 400 AVE DOMENECH, SUITE 205, SAN JUAN, PR 00918-3710
- **Mailing address phone:** (787) 753-7174
- **Mailing address fax:** (787) 758-6116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 13296 | PR | Yes |

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 03/13/2008