Provider Demographics
NPI:1326100496
Name:NEW ERA SURGICAL GROUP, PSC
Entity Type:Organization
Organization Name:NEW ERA SURGICAL GROUP, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SOTO LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-258-4884
Mailing Address - Street 1:PO BOX 770
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-0770
Mailing Address - Country:US
Mailing Address - Phone:787-240-5886
Mailing Address - Fax:787-961-4646
Practice Address - Street 1:HOSPITAL HIMA
Practice Address - Street 2:OFICINA 126
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-240-5886
Practice Address - Fax:787-961-4646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Single Specialty