| Organization Name: | INSTITUTO DE GINECOLOGIA Y OBSTETRICIA DEL SUR |
| NPI Number: | 1568853687 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELMER L IRIZARRY (VICE PRESIDENTE) |
| Mailing Address: | 628 Calle Pedro Velazquez A 2 A 3 Penuelas |
| State: | PR US |
| Postal Code: | 00624 |
| Phone Number: | 7878362214 |
| Fax Number: | |
| NPI Enumeration Date: | 02/11/2015 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QB0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Birthing |
| Taxonomy Definition: | |