South Pearl Medical Corp

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SOUTH PEARL MEDICAL CORP

Practice address

39 Calle Mayor
Ponce, PR 00730-3761

Phone

(787) 437-1601

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Sara Miranda

Title

President

Phone

(787) 903-4999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1801379052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO STE 714",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CALLE MAYOR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303761",
            "telephone_number": "787-437-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PEARL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-903-4999"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Ambulances Transport Inc CSP
• South Cancer Center
• South Cancer Group PSC
• South Caribbean Laboratory Corp
• South Kidney Care LLC
• South Prime OB-GYN LLC
• South Renal Care, P.S.C
• South West Health Corp
• Southern Aesthetics Corp.PSC
• Southern Anesthesia Associates LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.