Southern Internal Medicine Institute

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

11526 Issued in PR

Legal business name

SOUTHERN INTERNAL MEDICINE INSTITUTE

Practice address

609 Ave Tito Castro
Ste 102 PMB 153
Ponce, PR 00716-0200

Phone

(787) 259-3316

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jorge Ruben Matos Figueroa

Title

Pysician

Phone

(787) 259-3316

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1649625013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "STE 102 PMB 153",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-259-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "STE 102 PMB 153",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007160200",
            "telephone_number": "787-259-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INTERNAL MEDICINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "MATOS FIGUEROA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "RUBEN",
        "authorized_official_title_or_position": "PYSICIAN",
        "authorized_official_telephone_number": "787-259-3316",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "11526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "11526",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Dermatology PSC
• Southern Ekg Services
• Southern Gastroenterology Medical Group, PSC
• Southern Hospitalist Services PSC
• Southern Internal Medicine Group, Inc.
• Southern Internal Medicine, P.S.C
• Southern Pathology Services, Inc.
• Southern Pathology Services, Inc.
• Southern Regional Blood Bank
• Southern Retina Consultants PSC

• Medical Specialty Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.