Organization
SOUTHERN HOSPITAL SERVICES INC
Active
Other names
Centro San Cristobal
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) 834-2265
(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
302R00000X
Health Maintenance Organization
Primary
07F1848
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN020A
PTAN
PR
Enumeration date
01/25/2007
Last updated
10/19/2016
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