# SOUTHERN SURGICENTER

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

## Provider details

- **NPI number:** 1629182977
- **Authorized official:** ALEX CEDENO (ADMINISTRATOR)
- **Authorized official phone:** (787) 841-0303

## Contact information

- **Practice address:** 2213 PONCE BYP, EDIF PARRA SUITE 201, PONCE, PR 00717-1318
- **Practice address phone:** (787) 841-0303
- **Mailing address:** 2213 PONCE BYP, EDIF PARRA SUITE 201, PONCE, PR 00717-1318
- **Mailing address phone:** (787) 841-0303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 01/15/2009