Southern Pathology Services Inc
A Medicare group practice based in Ponce, PR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7214259506), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7214259506
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Clinical Laboratory
- Enrolled in
- PR
- Enrollments
- 2
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20141121001574 | PR | Part B Supplier - Clinic/Group Practice | 1134119233 |
| O20141202001681 | PR | Part B Supplier - Independent Clinical Laboratory | 1154586808 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southern Pathology Services, Inc.
- Anatomic Pathology Physician
- Ponce, PR
- NPI 1134119233
-
Southern Pathology Services, Inc.
- Clinical Medical Laboratory
- Ponce, PR
- NPI 1154586808
Practice locations
- Ponce, PR2
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (11).
-
Pablo Omar Acosta Garayua
- Anatomic Pathology & Clinical Pathology Physician
- San Juan, PR
- NPI 1457853483
-
Edgar Carlos Belmonte, MD
- Clinical Pathology Physician
- Ponce, PR
- NPI 1265935308
-
Jasmine Figueroa-Diaz, MD
- Anatomic Pathology & Clinical Pathology Physician
- NPI 1013402106
-
Alicia Henao Velasquez, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Ponce, PR
- NPI 1225481807
-
Kyungmin Ko, MS, MD
- Anatomic Pathology Physician
- Ponce, PR
- NPI 1588190383
-
Adalberto Mendoza, MD
- Anatomic Pathology & Clinical Pathology Physician
- Ponce, PR
- NPI 1457475881
-
Lance Needham, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Ponce, PR
- NPI 1821201104
-
Maria Sofia Oliver-Ricart, MD
- Anatomic Pathology & Clinical Pathology Physician
- Ponce, PR
- NPI 1972081891
-
Marta C Plaza, MD
- Specialist
- Mayaguez, PR
- NPI 1093700080
-
George Steven Santiago, MD
- Anatomic Pathology Physician
- San Juan, PR
- NPI 1598377335
-
Mark Everett Smethurst, MD
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1083874978
-
Mohammad Nader Suleiman, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- San Juan, PR
- NPI 1114474236
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.