# OBSTETRICS AND GYNECOLOGY HEALTH CENTER LLC

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

## Provider details

- **NPI number:** 1992586481
- **Authorized official:** SARA I MONTALVO-MEDINA MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (787) 467-2259

## Contact information

- **Practice address:** 1255 PASEO LAS MONJITAS, SUITE M161 AVE TITO CASTRO, PONCE, PR 00730
- **Practice address phone:** (787) 651-7816
- **Mailing address:** 1255 PASEO LAS MONJITAS SUITE M161, AVE TITO CASTRO, PONCE, PR 00730
- **Mailing address phone:** (787) 651-7816
- **Mailing address fax:** (787) 651-7822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2023
- **Last updated:** 10/10/2023