Organization
SOUTHERN HOSPITAL SERVICES
Active
Other names
CENTRO SAN CRISTOBAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMANDO MUNOZ M.D (PRESIDENT)
78783722654
Entity
Organization
Contact information
Practice address
45 CALLE MUNOZ RIVERA, VILLALBA, PR 00766-3043
(787) 847-3000
(787) 847-8164
Mailing address
PO BOX 1400, JUANA DIAZ, PR 00795-1400
(787) 837-2265
(787) 260-1441
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
07-F-1847
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN020A
PTAN
PR
Enumeration date
02/07/2007
Last updated
10/19/2016
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