| Sgg Obgyn Llc | |
|
1449 Calle Americo Salas Ste 201 San Juan PR 00909-2101 | |
| (787) 454-2105 | |
| Not Available |
| Full Name | Sgg Obgyn Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1449 Calle Americo Salas Ste 201, San Juan, Puerto Rico |
| Authorized Official Name and Position | Stephanie Michelle Gonzalez Garcia (PRESIDENT) |
| Authorized Official Contact | 7874542105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgg Obgyn Llc Po Box 367976 San Juan PR 00936-7976 Ph: (787) 454-2105 | Sgg Obgyn Llc 1449 Calle Americo Salas Ste 201 San Juan PR 00909-2101 Ph: (787) 454-2105 |
| NPI Number | 1225710551 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/27/2023 |
| Medicare PECOS PAC ID | 2163876814 |
|---|---|
| Medicare Enrollment ID | O20230928001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225710551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Stephanie Michelle Gonzalez Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295219483 PECOS PAC ID: 3072967728 Enrollment ID: I20230928001873 |
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