| Organization Name: | CENTRO OBSTETRICO AREA SUR ESTE |
| NPI Number: | 1194149633 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDWARD HERNANDEZ (PRESIDENT) |
| Mailing Address: | Ave. Pedro Albizu Campos Guayama |
| State: | PR US |
| Postal Code: | 00784 |
| Phone Number: | 7874871021 |
| Fax Number: | 7878663214 |
| NPI Enumeration Date: | 02/04/2014 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1800X |
| License Number: | 10682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Corporate Health |
| Taxonomy Definition: | |