# SOUTHERN OBSTETRICS AND GYNECOLOGIC CENTER, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114206315
- **Authorized official:** DR. ROBERTO BURGOS-RODRIGUEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 308-8547

## Contact information

- **Practice address:** CALLE CARRION MADURO, NUM 29, JUANA DIAZ, PR 00795-0000
- **Practice address phone:** (787) 837-6419
- **Practice address fax:** (787) 260-4859
- **Mailing address:** F-89 CALLE REINA ISABEL, MANSIONES PASEO DE REYES, JUANA DIAZ, PR 00795-4010
- **Mailing address phone:** (787) 837-6419
- **Mailing address fax:** (787) 260-4859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | 17318 | PR | Yes |

## Other

- **Enumeration date:** 08/05/2011
- **Last updated:** 09/07/2016