SOUTHERN OBSTETRICS AND GYNECOLOGIC CENTER, P.S.C.
NPI 1114206315
Obstetrics & Gynecology - Obstetrics in Juana Diaz, PR
About Southern Obstetrics And Gynecologic Center, P.s.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN OBSTETRICS AND GYNECOLOGIC CENTER, P.S.C. (NPI 1114206315) is a healthcare organization registered as an obstetrics in Juana Diaz, Puerto Rico and active in the NPI registry since August 2011. The organization lists Roberto Burgos-rodriguez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Obstetrics And Gynecologic Center, P.s.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Obstetrics And Gynecologic Center, P.S.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern Obstetrics And Gynecologic Center, P.S.C.'s NPI number?
The NPI number for Southern Obstetrics And Gynecologic Center, P.S.C. is 1114206315. It was assigned to this organization in the NPPES registry on August 5, 2011.
Where is Southern Obstetrics And Gynecologic Center, P.S.C. located?
Southern Obstetrics And Gynecologic Center, P.S.C. is located at Calle Carrion Maduro Num 29, Juana Diaz, PR 00795. The listed phone number is (787) 837-6419.
What is Southern Obstetrics And Gynecologic Center, P.S.C.'s specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.
Is Southern Obstetrics And Gynecologic Center, P.S.C. enrolled in Medicare?
Yes. Southern Obstetrics And Gynecologic Center, P.S.C. is registered in the Medicare PECOS enrollment system.
When is Southern Obstetrics And Gynecologic Center, P.S.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Puerto Rico, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern Obstetrics And Gynecologic Center, P.S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Southern Obstetrics And Gynecologic Center, P.S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Obstetrics And Gynecologic Center, P.S.C. was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southern Obstetrics And Gynecologic Center, P.s.c. · NPI 1114206315
Obstetrics organization in Juana Diaz, Puerto Rico. Organization record, active in the CMS NPPES registry since August 5, 2011.
## Identity
- **NPI:** 1114206315 (Entity type: Organization)
- **Enumerated:** August 5, 2011
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **Organization subpart:** No
- **Authorized official:** Roberto Burgos-Rodriguez, PRESIDENT
## Practice location
- **Address:** CALLE CARRION MADURO, NUM 29, Juana Diaz, PR 00795-0000
- **Phone:** (787) 837-6419 · **Fax:** (787) 260-4859
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Puerto Rico, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Obstetrics/Gynecology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 7, 2016
- **Other identifiers:** Medicare PIN FI906A (PR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114206315) · Data from the CMS NPPES public registry.