# OPTIMA GYN LLC

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

## Provider details

- **NPI number:** 1336894286
- **Authorized official:** DR. SOAN GILY CRUZ MD (PRESIDENT)
- **Authorized official phone:** (787) 307-0741

## Contact information

- **Practice address:** 611 CALLE PAVIA STE 203, SAN JUAN, PR 00909-2242
- **Practice address phone:** (787) 433-2526
- **Mailing address:** 120 AVE CARLOS CHARDON APT 129, SAN JUAN, PR 00918-1721
- **Mailing address phone:** (787) 307-0741

## Taxonomy

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