Provider Demographics
NPI:1538710686
Name:OPTIMAL CARE GYNECOLOGY LLC
Entity type:Organization
Organization Name:OPTIMAL CARE GYNECOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-982-0088
Mailing Address - Street 1:PO BOX 19450
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1450
Mailing Address - Country:US
Mailing Address - Phone:787-982-0088
Mailing Address - Fax:787-982-0091
Practice Address - Street 1:607A CALLE DEL PARQUE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2307
Practice Address - Country:US
Practice Address - Phone:787-982-0088
Practice Address - Fax:787-982-0091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty