Provider Demographics
NPI:1760842033
Name:SOUTHERN HOSPITAL SERVICES, INC
Entity Type:Organization
Organization Name:SOUTHERN HOSPITAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENTA OPERACIONES
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TORRES COLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-837-2265
Mailing Address - Street 1:PO BOX 1400
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-1400
Mailing Address - Country:US
Mailing Address - Phone:787-837-2265
Mailing Address - Fax:787-260-1441
Practice Address - Street 1:CARR PR 153 ESQ PR 52
Practice Address - Street 2:BO FELICIA 2
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-971-0040
Practice Address - Fax:787-845-8757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service