Organization
SOUTHERN HOSPITAL SERVICE INC
Active
Other names
Centro San Cristobal Juana Diaz
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANDO L MUNOZ BERMUDEZ (PRESIDENTE)
(787) 837-2265
Entity
Organization
Contact information
Practice address
CALLE LA CRUZ, 6, JUANA DIAZ, PR 00795
(787) 837-2265
(787) 260-1441
Mailing address
PO BOX 1400, JUANA DIAZ, PR 00795
(787) 837-2265
(787) 260-1441
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN020A
PTAN
PR
Enumeration date
03/28/2007
Last updated
12/14/2016
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