Southern Internal Medicine, P.S.C

Primary specialty

SpecialistTaxonomy code 174400000X

License

12329 Issued in PR

Legal business name

SOUTHERN INTERNAL MEDICINE, P.S.C

Practice address

2279 Ponce Byp
Caribbean Medical Center
Ponce, PR 00717-1318

Phone

(787) 984-0908

Fax

(787) 984-1139

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Hector Luis Martinez, MDNPI 1164476982

Title

President

Phone

(787) 984-0908

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hector Luis Martinez, M.D.

  • Internal Medicine Physician
  • Ponce, PR
  • NPI 1164476982
  NPD (past) Authorized official

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1821244179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150320",
            "telephone_number": "787-984-0908",
            "fax_number": "787-984-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 PONCE BYP",
            "address_2": "CARIBBEAN MEDICAL CENTER",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171318",
            "telephone_number": "787-984-0908",
            "fax_number": "787-984-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN INTERNAL MEDICINE, P.S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-984-0908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "12329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Ekg Services
• Southern Gastroenterology Medical Group, PSC
• Southern Hospitalist Services PSC
• Southern Internal Medicine Group, Inc.
• Southern Internal Medicine Institute
• Southern Pathology Services, Inc.
• Southern Pathology Services, Inc.
• Southern Regional Blood Bank
• Southern Retina Consultants PSC
• Southern Surgical Group LLC

• Specialist in Ponce, PR
• Providers in Ponce, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.