SOUTHERN INTERNAL MEDICINE INSTITUTE


Address: 609 Ave Tito Castro, Ste 102 Pmb 153, Ponce, PR 00716-0200
Phone: 7872593316

SOUTHERN INTERNAL MEDICINE INSTITUTE (NPI# 1649625013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649625013
Entity Type Organization
Organization Name SOUTHERN INTERNAL MEDICINE INSTITUTE
Practice Address 609 Ave Tito Castro
Ste 102 Pmb 153
Ponce
PR 00716-0200
Mailing Address 609 Ave Tito Castro
Ste 102 Pmb 153
Ponce
PR 00716
Practice Telephone 7872593316
Mailing Telephone 7872593316
Enumeration Date 2016-05-04
Last Update Date 2016-05-04
Authorized Official Name DR. JORGE RUBEN MATOS FIGUEROA (PYSICIAN)
Authorized Official Telephone 7872593316
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
11526 PR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PR INTERNAL MEDICINE 11526 01

Office Location

Street Address 609 AVE TITO CASTRO
STE 102 PMB 153
City PONCE
State PR
Zip Code 00716-0200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578568598 Carlos F Benitez Dentist 609 Ave Tito Castro, Pmb 349, Ponce, PR 00716-0206 2005-06-16
1639509896 Atlantis Health Care Group Puerto Rico, Inc. Clinic/Center 609 Ave Tito Castro, Suite 102 Pmb 380, Ponce, PR 00716-0200 2013-11-25
1326311648 Karla Marie Berrios Social Worker 609 Ave Tito Castro, Suite 102 Pbm 380, Ponce, PR 00716-0200 2012-02-16
1871806299 Amparo Figueroa Psychologist 609 Ave Tito Castro, Ste 102 Pmb #174, Ponce, PR 00716-0200 2010-07-15
1568473171 Maria Teresa Nieves Rodriguez Clinical Medical Laboratory 609 Ave Tito Castro, St 102 Pmb 353, Ponce, PR 00716-0200 2006-08-10
1831114719 Orlando J Marchena Arraut Internal Medicine 609 Ave Tito Castro, Suite 102 Pmb 353, Ponce, PR 00716-2232 2006-07-13
1245298926 Ricardo Cruz Anesthesiology 609 Ave Tito Castro, Suite 102 Pmb 346, Ponce, PR 00716-0200 2006-05-03
1720063332 Gilberto Ruiz Deya Urology 609 Ave Tito Castro, Ste. 102, Pmb 363, Ponce, PR 00716-0200 2005-12-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275148041 Amanda Ivette Orta Colon General Practice Los Caobos C/guayacan #1691, Ponce, PR 00716 2020-09-09
1568074052 Isabel Victoria Vazquez Morales Student in an Organized Health Care Education/Training Program 388 Zona Industrial Rapada 2, Ponce, PR 00716 2020-08-18
1629687199 Maria Elena Carvajal Mock Student in an Organized Health Care Education/Training Program La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 2020-07-30
1518576651 Gabriel Domingo Palmieri Lagares Student in an Organized Health Care Education/Training Program Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 2020-07-24
1417565151 Jose Rafael Pascual Student in an Organized Health Care Education/Training Program Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 2020-07-20
1790302412 Isha Marie Valerio Martinez Social Worker Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 2020-06-29
1619592011 Luz Jeilin Morales Cruz Psychologist Urb Inductrial Reparada #291, Ponce, PR 00716 2020-06-11
1609491208 Hogar Las Aguilas Incorporado Custodial Care Facility La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 2020-06-10
1841813607 Special Tactics and Rescue Services Corp Case Management 6020 Amalia Marin, Trucha, Ponce, PR 00716 2020-05-27
1629691274 Heidi Ann Negron Registered Nurse Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 2020-05-18
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154796977 Dr. Carlos J. Carro Pagan Csp Clinic/Center 2225 Avenida Ponce By Pass, Edificio Parra Suite 905, Ponce, PR 00717 2015-12-04
1962832766 Dr. Claudio Bernaschina Psc Clinic/Center 2225 Ponce By Pass Suite 902, Parra Medical Plaza, Ponce, PR 00717 2013-11-15
1811438385 Med Centro, Inc. Clinic/Center 1034 Ave Hostos, Ponce, PR 00716-1115 2017-03-16
1992932867 Invasive Gastro-intestinal Medical Service Psc Clinic/Center 909 Ave Tito Castro Ste 612, Ponce, PR 00716-4722 2009-06-17
1619131406 Internal Medicine Perioperative Consultants Psc Clinic/Center 909 Tito Castro Ave, Torre Medica San Lucas Suite 717, Ponce, PR 00716 2008-07-11
1295869436 Roberto Velazquez Torres Clinic/Center 2431 Ave Las Americas, Ponce, PR 00717-2113 2007-03-16
1518097336 Centro De Quimioterapia Ambulatoria Dr Roberto Velazquez Clinic/Center 2431 Ave Las Americas, Edif Porrata Pila Suite 105, Ponce, PR 00717-2113 2007-03-07

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1598206039 Dr. Francisco Vazquez P.s.c. Clinic/Center 75 Luis Munoz Marin, Cayey, PR 00736 2017-03-16
1417408790 Lms Services, LLC Clinic/Center 404 Ave De La Constitucion, Cond. Atlantis Apt. 1503, San Juan, PR 00901-2236 2016-10-20
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Competitor

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City PONCE
Zip Code 00716

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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