SOUTHERN HOSPITAL SERVICES (NPI# 1043339054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043339054 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HOSPITAL SERVICES |
| Other Organization Name | CENTRO SAN CRISTOBAL VILLALBA |
| Practice Address |
40 Calle Munoz Rivera Villalba PR 00766-2221 |
| Mailing Address |
Po Box 1400 Juana Diaz PR 00795-1400 |
| Practice Telephone | 7878473000 |
| Mailing Telephone | 7878372265 |
| Mailing Fax Number | 7872601441 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | MR. FRANCO EMANUEL SOLDEVILA (ACCOUNTANT) |
| Authorized Official Telephone | 7878372265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | PTAN | CN020A | 01 |
| Other Name | Type Code |
|---|---|
| CENTRO SAN CRISTOBAL VILLALBA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073918694 | Southern Hospital Services | Clinic/Center | 77 Calle Central, Coto Laurel, PR 00780 | 2014-10-24 |
| 1609995620 | Southern Hospital Services | Clinical Medical Laboratory | 40 Calle Munoz Rivera, Villalba, PR 00766-2221 | 2007-03-29 |
| 1093855041 | Southern Hospital Services | Health Maintenance Organization | 45 Calle Munoz Rivera, Villalba, PR 00766-3043 | 2007-02-07 |
| Street Address |
40 CALLE MUNOZ RIVERA |
| City | VILLALBA |
| State | PR |
| Zip Code | 00766-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790804680 | Southern Hospital Service Inc | Clinic/Center | 40 Calle Munoz Rivera, Villalba, PR 00766-2221 | 2007-03-29 |
| 1609995620 | Southern Hospital Services | Clinical Medical Laboratory | 40 Calle Munoz Rivera, Villalba, PR 00766-2221 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082640 | Leychka Michelle Rodriguez | Physician Assistant | Bo. Tierra Santa Km 58.2 Carr 149, Villalba, PR 00766 | 2020-08-05 |
| 1891319760 | In Salud, Inc | Internal Medicine | Urb. Las Alondras, B-90 Calle 2, Villalba, PR 00766 | 2020-06-05 |
| 1932729845 | Internal Medicine and Primary Care Psc | Internal Medicine | Calle Ramon Figueroa 1, Villalba, PR 00766 | 2020-04-21 |
| 1184253338 | Brian Joel Torres Mercado | General Practice | Urb. Estancias De Santa Rosa, 14 Calle Roble, Villalba, PR 00766 | 2020-04-08 |
| 1073148912 | Benjamin Armando Gonzalez Burgos | Student in an Organized Health Care Education/Training Program | Bo. Vacas Sector Mogote, Villalba, PR 00766 | 2020-03-11 |
| 1699309054 | Yahaira Natal | Psychologist | Bo. Jagueyes Carr. 149 Km. 59.6, Local #g-2, Villalba, PR 00766 | 2020-02-25 |
| 1154972792 | Lydia Morales | Technician | Comunidad Toa Vaca, Calle 13 # 561, Villalba, PR 00766 | 2019-09-25 |
| 1285296731 | Angel Jose Figueroa | General Practice | Bo Romero Carr 149 Km 62.6, Villalba, PR 00766 | 2019-07-05 |
| 1700442647 | Kimberly Gabrielle Martinez | Student in an Organized Health Care Education/Training Program | Carr 150 Ramal 5520 Km 0.9, Bo Cerro Gordo, Villalba, PR 00766 | 2019-05-16 |
| 1205399953 | Josue Guzman | Social Worker | Calle Luchetti Final, Barriada Cooperativa, Villalba, PR 00766 | 2019-04-10 |
| Find all providers in zip 00766 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375644 | Health Preventive and Emergency Services Psc | Emergency Medicine | Ofic 105 207 Calle Manuel Domenech, San Juan, PR 00918-0091 | 2020-08-04 |
| 1598398943 | Emergency Medical Consultants Group - Emcg Inc | Emergency Medicine | 159 Calle Quinto Centenario, Luquillo, PR 00773-2319 | 2020-02-13 |
| 1467016287 | Heart Ems | Emergency Medicine | 1608 Calle Bori St 202, Edificio La Electronica, San Juan, PR 00926-0092 | 2019-04-26 |
| 1598228074 | Moises E Velazquez | Emergency Medicine | 288 Calle 4, Trujillo Alto, PR 00976-2919 | 2019-04-10 |
| 1285140616 | Premier Health Care LLC | Emergency Medicine | 272 Calle 1, Puerto Nuevo Ne, San Juan, PR 00920 | 2017-12-21 |
| 1497274286 | Capitol Clinical Comprehensive LLC | Emergency Medicine | 703 Calle Victor Lopez, San Juan, PR 00909-2843 | 2017-09-13 |
| 1427579168 | Policlinica Familiar Shalom Inc | Emergency Medicine | Carr 2 Km 101.6 Calle Marginal Del Parque, Bo Terranova, Quebradillas, PR 00678 | 2017-07-03 |
| 1326595752 | Javier Ivan Pacheco | Emergency Medicine | E35 Calle 2, Urb Los Rosales, Humacao, PR 00791-3105 | 2016-09-01 |
| 1730528274 | Jfj Medical LLC | Emergency Medicine | 10 Villa Angela, 6, Arecibo, PR 00612-9687 | 2013-06-18 |
| 1598057374 | Aguada Medical Center Inc. | Emergency Medicine | Carretera 115, Km 24.5 Barrio Asomante, Aguada, PR 00602 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.