Provider Demographics
NPI:1932838844
Name:SOUTHEASTERN IN HOSPITAL MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:SOUTHEASTERN IN HOSPITAL MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS CANSECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-864-4300
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00785-0869
Mailing Address - Country:US
Mailing Address - Phone:787-864-4300
Mailing Address - Fax:
Practice Address - Street 1:URB LA HACIENDA
Practice Address - Street 2:ALBIZU CAMPOS ESQUINA PRINCIPAL
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-864-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty