Organization
SAINT LUKES MEMORIAL HOSPITAL INC
Active
Other names
GRUPO MEDICO SAN LUCAS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMARY DE LA CRUZ SEVERINO (PRINCIPAL OFFICIAL FINANCIERA -SS)
(787) 864-4300
Entity
Organization
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
PO BOX 336810, PONCE, PR 00733-6810
(787) 844-2080
(787) 844-2090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
146M00000X
Intermediate Emergency Medical Technician
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208D00000X
General Practice Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
261Q00000X
Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2019
Last updated
10/30/2024
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