NPIMap

Organization Active NPI

Southern Hospital Services Inc

Doing business as Centro San Cristobal

  • Health Maintenance Organization
  • Juana Diaz, PR
National Provider Identifier
1871649988
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
07F1848 Issued in PR
Legal business name
SOUTHERN HOSPITAL SERVICES INC
Doing business as
Centro San Cristobal
Practice address
Calle la Cruz #6
Juana Diaz, PR 00795
Phone
(787) 834-2265
Fax
(787) 260-1441
NPI assigned
Jan 25, 2007
Last updated
Oct 19, 2016By the provider in NPPES
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
Armando L Munoz Bermudez
Title
Presidente
Phone
(787) 837-2265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 07F1848 PR Primary

Addresses

Primary practice location

Calle la Cruz #6
Juana Diaz, PR 00795

Mailing address

PO Box 1400
Juana Diaz, PR 00795
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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1871649988",
    "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": "00795",
            "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": "CALLE LA CRUZ #6",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-834-2265",
            "fax_number": "787-260-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HOSPITAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MUNOZ BERMUDEZ",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-837-2265"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "07F1848",
            "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 Juana Diaz, 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.