Active NPIOrganization

Southern Internal Medicine Institute

Clinic/Center, Medical Specialty in Ponce, Puerto Rico

NPI Number1649625013
Practice location
609 Ave Tito Castro, Ste 102 Pmb 153, Ponce, PR 00716-0200
Fax
—
Last updated
May 4, 2016

Southern Internal Medicine Institute is a healthcare organization based in Ponce, PR. Southern Internal Medicine Institute practices in Ponce, PR. The NPI Number for Southern Internal Medicine Institute is 1649625013 and holds a License No. 11526 (PR). The current practice location address for Southern Internal Medicine Institute is 609 Ave Tito Castro, Ste 102 Pmb 153, Ponce, PR 00716-0200 and can be reached out via phone at 787-259-3316.

Provider Profile Details

NPI Number
1649625013
Provider Name
Southern Internal Medicine Institute
Provider Entity Type
Organization
Address
609 Ave Tito Castro, Ste 102 Pmb 153, Ponce, PR 00716-0200
Phone Number
787-259-3316
Primary Taxonomy
Clinic/Center, Medical Specialty · 261QM2500X
Organization Subpart
No
Authorized Official
Dr. Jorge Ruben Matos Figueroa · Pysician · 787-259-3316
Provider Enumeration Date
May 4, 2016
Last Update Date
May 4, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
609 Ave Tito Castro
Ste 102 Pmb 153
Ponce, PR 00716-0200
City
Ponce
Zip
00716-0200
Phone Number
787-259-3316
Ponce, PR 00716Get directions →

Provider Business Mailing Address Details

Address
609 Ave Tito Castro
Ste 102 Pmb 153
Ponce, PR 00716
City
Ponce
State
PR
Zip
00716
Phone Number
787-259-3316

License Information

License Number
11526
License State
PR
Taxonomy
Clinic/Center, Medical Specialty · 261QM2500X · 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 Internal Medicine Institute?

The NPI number of Southern Internal Medicine Institute is 1649625013. It was assigned on May 4, 2016 and is currently active in the NPPES registry.

What is the specialty of Southern Internal Medicine Institute?

Southern Internal Medicine Institute is registered under the primary taxonomy Clinic/Center, Medical Specialty (code 261QM2500X), licensed in PR under license number 11526.

Where does Southern Internal Medicine Institute practice?

The practice location is 609 Ave Tito Castro, Ste 102 Pmb 153, Ponce, PR 00716-0200. The office can be reached at 787-259-3316 (phone).

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 1649625013 directly on the NPPES registry website.

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