Organization
OPTIMUM OB/GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS JAVIER CASIANO MD (PRESIDENT)
(787) 640-9530
Entity
Organization
Contact information
Practice address
268 AVE PONCE DE LEON, HATO REY CENTER STE. 1000, SAN JUAN, PR 00918-2002
(787) 266-7261
(787) 266-7263
Mailing address
268 AVE PONCE DE LEON, HATO REY CENTER STE. 1000, SAN JUAN, PR 00918-2002
(787) 266-7261
(787) 266-7263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
17111
PR
174400000X
Specialist
Primary
18058
PR
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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