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Organization
DR SUSONI HEALTH COMMUNITY SERVICES CORP
Active
Organization
DR SUSONI HEALTH COMMUNITY SERVICES CORP
Active
Parent organization
DR SUSONI HEALTH COMMUNITY SERVICES CORP
Other names
Hospital Pavia Arecibo
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR SUSONI HEALTH COMMUNITY SERVICES CORP
Authorized official
JUAN L MEDINA (BILLING AND COLLECTIONS DIRECTOR)
(787) 650-7272
Entity
Organization
Contact information
Practice address
CARR, 129 KM 1.0, AVE SAN LUIS, ARECIBO, PR 00613-0659
(787) 650-7272
(787) 650-7310
Mailing address
PO BOX 659, ARECIBO, PR 00613-0659
(787) 650-7272
(787) 650-7310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400087
—
PR
Enumeration date
02/27/2020
Last updated
09/26/2023
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