Provider Demographics
NPI:1053635623
Name:A & B OB-GYN GROUP
Entity type:Organization
Organization Name:A & B OB-GYN GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDGARDO
Authorized Official - Middle Name:J
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-757-0820
Mailing Address - Street 1:PO BOX 6247
Mailing Address - Street 2:LOIZA ST. STATION
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00914-6247
Mailing Address - Country:US
Mailing Address - Phone:787-757-0820
Mailing Address - Fax:787-768-1900
Practice Address - Street 1:312 AVE DE DIEGO
Practice Address - Street 2:MUSEUM TOWER
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909-1756
Practice Address - Country:US
Practice Address - Phone:787-757-0820
Practice Address - Fax:787-768-1900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11317174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty