# SOUTHERN HOSPITAL SERVICE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRO SAN CRISTOBAL VILLALBA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790804680
- **Authorized official:** MR. FRANCO SOLDEVILA (ACCOUNTANT)
- **Authorized official phone:** (787) 837-2265

## Contact information

- **Practice address:** 40 CALLE MUNOZ RIVERA, VILLALBA, PR 00766-2221
- **Practice address phone:** (787) 847-3000
- **Practice address fax:** (787) 260-1441
- **Mailing address:** PO BOX 1400, JUANA DIAZ, PR 00795-1400
- **Mailing address phone:** (787) 837-2265
- **Mailing address fax:** (787) 260-1441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 12/14/2016