Organization
SOUTHERN SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR MANUEL LOPEZ GONZALEZ MD, MHA (MANAGING MEMBER)
(787) 492-0111
Entity
Organization
Contact information
Practice address
1010 PASEO DEL VETERANO, PONCE, PR 00716-2001
(787) 492-0111
(787) 812-1034
Mailing address
70 AVE PONCE DE LEON STE 160, SAN JUAN, PR 00918-1627
(787) 492-0111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/01/2025
Last updated
08/01/2025
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