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Organization
OPTIMA GYN LLC
Active
Organization
OPTIMA GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOAN GILY CRUZ MD (PRESIDENT)
(787) 307-0741
Entity
Organization
Contact information
Practice address
611 CALLE PAVIA STE 203, SAN JUAN, PR 00909-2242
(787) 433-2526
Mailing address
120 AVE CARLOS CHARDON APT 129, SAN JUAN, PR 00918-1721
(787) 307-0741
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
NULL
261QA0600X
Adult Day Care Clinic/Center
—
NULL
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Enumeration date
02/18/2022
Last updated
02/24/2022
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