NPIMap

Organization Active NPI

Southern Hospital Services

  • Health Maintenance Organization
  • Villalba, PR
National Provider Identifier
1093855041
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
07-F-1847 Issued in PR
Legal business name
SOUTHERN HOSPITAL SERVICES
Practice address
45 Calle Munoz Rivera
Villalba, PR 00766-3043
Phone
(787) 847-3000
Fax
(787) 847-8164
NPI assigned
Feb 7, 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. Armando Munoz, M.D
Title
President
Phone
78783722654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 07-F-1847 PR Primary

Addresses

Primary practice location

45 Calle Munoz Rivera
Villalba, PR 00766-3043

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 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.

Locations

45 Calle Munoz Rivera
Villalba, PR 00766
Phone (787) 847-3000

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1093855041",
    "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": "45 CALLE MUNOZ RIVERA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007663043",
            "telephone_number": "787-847-3000",
            "fax_number": "787-847-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOSPITAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "78783722654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "07-F-1847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CN020A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO SAN CRISTOBAL",
            "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.