SOUTHERN HOSPITAL SERVICES (NPI# 1609995620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609995620 |
| 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 |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| 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 |
| 1043339054 | Southern Hospital Services | Clinic/Center | 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 |
|---|---|---|---|---|
| 1043339054 | Southern Hospital Services | Clinic/Center | 40 Calle Munoz Rivera, Villalba, PR 00766-2221 | 2007-03-29 |
| 1790804680 | Southern Hospital Service Inc | Clinic/Center | 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356768246 | Laboratorio Clinico Alfeciza Inc. | Clinical Medical Laboratory | Carr 149 Esq. Borinquen #44, Villalba, PUERTO RICO 00766 | 2014-03-28 |
| 1538229265 | Laboratorio Clinico Silmend I | Clinical Medical Laboratory | Calle Barcelo 59, Villalba, PUERTO RICO 00766 | 2006-12-11 |
| 1265523583 | Laboratorio Sagrada Familia Corp. | Clinical Medical Laboratory | Sector Tierra Santa, Carr 149 Km 58.7, Villalba, PR 00766 | 2006-09-28 |
| 1598741753 | Laboratorio Clinico Tierra Santa Inc | Clinical Medical Laboratory | 507 Carr 149, Bo Tierra Santa, Villalba, PR 00766 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430883 | Laboratorio Clinico Otoao LLC | Clinical Medical Laboratory | Carretera # 111, Km. 2.9, Vivi Abajo, Utuado, PR 00641 | 2020-09-01 |
| 1073125068 | Laboratorio Clinico Jaimar II Inc | Clinical Medical Laboratory | Carr 4416 Km 0.6 Bo Piedras Blancas, Aguada, PR 00602 | 2020-08-20 |
| 1528678323 | Laboratorio Ebenezer LLC | Clinical Medical Laboratory | Bo Macana Carr 132 Km 4.5, Guayanilla, PR 00656 | 2020-08-06 |
| 1316565641 | Aa Home Rental Inc | Clinical Medical Laboratory | Carr 829 Km,6.2, Bayamon, PR 00956 | 2020-07-13 |
| 1639796931 | Yamilet I Troche De Hoyos | Clinical Medical Laboratory | Carretera #2 Km 138.4 Barrio Naranjo, Aguada, PR 00602-0000 | 2020-07-02 |
| 1437776077 | Integrate Community Health System | Clinical Medical Laboratory | Carr 3 Km 32.0 Interior Bo Mameyes, Laquillo, PR 00773 | 2020-06-30 |
| 1184249690 | Laboratorio Clinico Ciudadela Inc | Clinical Medical Laboratory | Cuidadela, Avenida Ponce De Leon 1511, San Juan, PR 00908 | 2020-06-10 |
| 1851927388 | Dds Inc. | Clinical Medical Laboratory | 77 Bruno Cruz Blvd, Toa Baja, PR 00949-2507 | 2020-03-16 |
| 1235763269 | Laboratorio Clinico Jomyr IIi, LLC | Clinical Medical Laboratory | 125 Ave. Ponce De Leon, Amelia Waterfront, Guaynabo, PR 00965 | 2020-02-28 |
| 1326681065 | Clinica Yaguez Inc | Clinical Medical Laboratory | 1 Carr 402 Zona Industrial, Bo Marias, Anasco, PR 00610-2017 | 2019-10-25 |
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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.