Provider Demographics
NPI:1528630613
Name:DB OB GYN PSC
Entity type:Organization
Organization Name:DB OB GYN PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA TORRE BISOT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-651-3888
Mailing Address - Street 1:909 AVE TITO CASTRO TORRE MEDICA SAN LUCAS
Mailing Address - Street 2:STE 502
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-651-3888
Mailing Address - Fax:787-651-7325
Practice Address - Street 1:909 AVE TITO CASTRO TORRE MEDICA SAN LUCAS
Practice Address - Street 2:STE 502
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-651-3888
Practice Address - Fax:787-651-7325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty