COMPLEX GYN LLC
NPI 1487483178
Obstetrics & Gynecology - Gynecology in San Juan, PR
About Complex Gyn Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMPLEX GYN LLC (NPI 1487483178) is a healthcare organization registered as a gynecology in San Juan, Puerto Rico and active in the NPI registry since July 2024. The organization lists Gabriella Rivera, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Complex Gyn Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Complex Gyn LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Complex Gyn LLC's NPI number?
The NPI number for Complex Gyn LLC is 1487483178. It was assigned to this organization in the NPPES registry on July 30, 2024.
Where is Complex Gyn LLC located?
Complex Gyn LLC is located at 735 Ave Ponce De Leon, San Juan, PR 00917. The listed phone number is (787) 945-2919.
What is Complex Gyn LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Complex Gyn LLC enrolled in Medicare?
Yes. Complex Gyn LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Complex Gyn LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Complex Gyn LLC. 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 Complex Gyn LLC was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Complex Gyn Llc · NPI 1487483178
Gynecology organization in San Juan, Puerto Rico. Organization record, active in the CMS NPPES registry since July 30, 2024.
## Identity
- **NPI:** 1487483178 (Entity type: Organization)
- **Enumerated:** July 30, 2024
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **Organization subpart:** No
- **Authorized official:** Gabriella Rivera, PRESIDENT
## Practice location
- **Address:** 735 AVE PONCE DE LEON, San Juan, PR 00917-5022
- **Phone:** (787) 945-2919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1487483178) · Data from the CMS NPPES public registry.