| Organization Name: | SOUTHERN HOSPITAL SERVICES INC |
| NPI Number: | 1164881140 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANA M TORRES (VICE PRESIDENTA OPERACIONES) |
| Mailing Address: | Carr 153 Esq 52 Barrio Felicia 2 Edificio Professional Santa Isabel |
| State: | PR US |
| Postal Code: | 00757 |
| Phone Number: | 7879710040 |
| Fax Number: | 7872601441 |
| NPI Enumeration Date: | 02/18/2016 |
| NPI Last Update Date: | 02/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | 110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |