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Organization

SOUTHERN HOSPITAL SERVICE INC

Active
Other names
CENTRO SAN CRISTOBAL VILLALBA
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANCO SOLDEVILA (ACCOUNTANT)
(787) 837-2265
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
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
03/29/2007
Last updated
12/14/2016
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