Active NPIOrganization

Southern Aesthetics Corp.psc

Clinic/Center in Ponce, Puerto Rico

NPI Number1205275484
Practice location
2225 Ponce Byp, Suite 401, Ponce, PR 00717-1321
Fax
787-840-9454
Last updated
June 16, 2018

Southern Aesthetics Corp.psc is a healthcare organization based in Ponce, PR. Southern Aesthetics Corp.psc practices in Ponce, PR. The NPI Number for Southern Aesthetics Corp.psc is 1205275484 and holds a License No. 326185 (PR). The current practice location address for Southern Aesthetics Corp.psc is 2225 Ponce Byp, Suite 401, Ponce, PR 00717-1321 and can be reached out via phone at 787-840-9450 and via fax at 787-840-9454.

Provider Profile Details

NPI Number
1205275484
Provider Name
Southern Aesthetics Corp.psc
Provider Entity Type
Organization
Address
2225 Ponce Byp, Suite 401, Ponce, PR 00717-1321
Phone Number
787-840-9450
Fax Number
787-840-9454
Primary Taxonomy
Clinic/Center · 261Q00000X
Organization Subpart
No
Authorized Official
Rosendo Emilio Martinez, MD · President · 787-840-9450
Provider Enumeration Date
June 20, 2013
Last Update Date
June 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
2225 Ponce Byp
Suite 401
Ponce, PR 00717-1321
City
Ponce
Zip
00717-1321
Phone Number
787-840-9450
Fax Number
787-840-9454
Ponce, PR 00717Get directions →

Provider Business Mailing Address Details

Address
2225 Ponce Bypass
Suite 401
Ponce, PR 00717-1322
City
Ponce
State
PR
Zip
00717-1322
Phone Number
787-840-9450
Fax Number
787-840-9454

License Information

Taxonomy (1)
Clinic/Center · 261Q00000X
License Number (2)
326185
License State (2)
PR
Taxonomy (2)
Clinic/Center · 261Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Southern Aesthetics Corp.psc?

The NPI number of Southern Aesthetics Corp.psc is 1205275484. It was assigned on June 20, 2013 and is currently active in the NPPES registry.

What is the specialty of Southern Aesthetics Corp.psc?

Southern Aesthetics Corp.psc is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in PR under license number 326185.

Where does Southern Aesthetics Corp.psc practice?

The practice location is 2225 Ponce Byp, Suite 401, Ponce, PR 00717-1321. The office can be reached at 787-840-9450 (phone) or 787-840-9454 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205275484 directly on the NPPES registry website.

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