Provider Demographics
NPI:1194435834
Name:WORLD GATEWAY PERINATAL CONSULTANTS PLLC
Entity type:Organization
Organization Name:WORLD GATEWAY PERINATAL CONSULTANTS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LUISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIPRONO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-660-9906
Mailing Address - Street 1:17511 RANCHO DIANA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-3366
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17511 RANCHO DIANA
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-3366
Practice Address - Country:US
Practice Address - Phone:210-660-9906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty