# SOUTHERN AESTHETICS CORP.PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205275484
- **Authorized official:** ROSENDO EMILIO MARTINEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 840-9450

## Contact information

- **Practice address:** 2225 PONCE BYP, SUITE 401, PONCE, PR 00717-1321
- **Practice address phone:** (787) 840-9450
- **Practice address fax:** (787) 840-9454
- **Mailing address:** 2225 PONCE BYPASS, SUITE 401, PONCE, PR 00717-1322
- **Mailing address phone:** (787) 840-9450
- **Mailing address fax:** (787) 840-9454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 326185 | PR | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/16/2018