NPIMap

Organization Active NPI

Southern Hospital Services

Doing business as Centro San Cristobal Villalba

  • Emergency Medical Services (Emergency Medicine) Physician
  • Villalba, PR
National Provider Identifier
1043339054
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
SOUTHERN HOSPITAL SERVICES
Doing business as
Centro San Cristobal Villalba
Practice address
40 Calle Munoz Rivera
Villalba, PR 00766-2221
Phone
(787) 847-3000
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Franco Emanuel Soldevila
Title
Accountant
Phone
(787) 837-2265

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary
Emergency Care Clinic/Center 261QE0002X

Addresses

Primary practice location

40 Calle Munoz Rivera
Villalba, PR 00766-2221

Mailing address

PO Box 1400
Juana Diaz, PR 00795-1400
Phone (787) 837-2265

Other identifiers 1

IdentifierTypeStateIssuer
CN020AOtherPRPTAN

Other names 1

  • CENTRO SAN CRISTOBAL VILLALBA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centro San Cristobal12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1043339054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1400",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951400",
            "telephone_number": "787-837-2265",
            "fax_number": "787-260-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CALLE MUNOZ RIVERA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007662221",
            "telephone_number": "787-847-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOSPITAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "SOLDEVILA",
        "authorized_official_first_name": "FRANCO",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "787-837-2265",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CN020A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO SAN CRISTOBAL VILLALBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villalba, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.