# SAINT LUKES MEMORIAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRUPO MEDICO SAN LUCAS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306492616
- **Authorized official:** MRS. ROSEMARY DE LA CRUZ SEVERINO (PRINCIPAL OFFICIAL FINANCIERA -SS)
- **Authorized official phone:** (787) 864-4300

## Contact information

- **Practice address:** 917 AVE TITO CASTRO, PONCE, PR 00716-4717
- **Practice address phone:** (787) 844-2080
- **Mailing address:** PO BOX 336810, PONCE, PR 00733-6810
- **Mailing address phone:** (787) 844-2080
- **Mailing address fax:** (787) 844-2090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 146M00000X | Intermediate Emergency Medical Technician | — | NULL | — |
| 146M00000X | Intermediate Emergency Medical Technician | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2019
- **Last updated:** 10/30/2024