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Organization
SOUTHERN SURGICENTER
Active
Organization
SOUTHERN SURGICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX CEDENO (ADMINISTRATOR)
(787) 841-0303
Entity
Organization
Contact information
Practice address
2213 PONCE BYP, EDIF PARRA SUITE 201, PONCE, PR 00717-1318
(787) 841-0303
Mailing address
2213 PONCE BYP, EDIF PARRA SUITE 201, PONCE, PR 00717-1318
(787) 841-0303
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/17/2006
Last updated
01/15/2009
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