SOUTHERN HEALTH CARE GROUP, INC. (NPI# 1780770917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780770917 |
| Entity Type | Organization |
| Organization Name | SOUTHERN HEALTH CARE GROUP, INC. |
| Practice Address |
Southern Medical Plaza Calle 3 Num 80 Sur Guayama PR 00784 |
| Mailing Address |
Po Box 1805 Guayama PR 00785 |
| Practice Telephone | 7878661212 |
| Practice Fax Number | 7878663322 |
| Mailing Telephone | 7878661212 |
| Mailing Fax Number | 7878663322 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | SERGIO R LOPEZ (DIRECTOR MEDICO) |
| Authorized Official Telephone | 7878661212 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
SOUTHERN MEDICAL PLAZA CALLE 3 NUM 80 SUR |
| City | GUAYAMA |
| State | PR |
| Zip Code | 00784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281121 | Omar Gabriel Caro Feliz | General Practice | Urb Paseos Brisas Del Mar F 7, Guayama, PR 00784 | 2020-10-08 |
| 1619584471 | Domingo Luis Acosta Pacheco | Social Worker | Urb. El Dorado Calle Jazmin A6-a7, Guayama, PR 00784 | 2020-09-25 |
| 1215543277 | Harold William Bastian Vega | General Practice | El Legado Golf Resort, Apt.424, Guayama, PR 00784 | 2020-09-16 |
| 1326654328 | Jeymi Lee Gomez | Social Worker | Barrio Corazon Calle Candelaria 568, Guayama, PR 00784 | 2020-09-16 |
| 1023623774 | Maria A Torres | Social Worker | Hera #3, Monte Olivo, Guayama, PR 00784 | 2020-09-10 |
| 1710597885 | Edgar Nicolas Colon De-jesus | Physician Assistant | Bo Olimpo C3 Num 732, Guayama, PR 00784 | 2020-08-04 |
| 1376153684 | Pupila Optical LLC | Optometrist | El Molino Shopping Center Expreso Pr 54, Km 0.8, B11, Guayama, PR 00784 | 2020-08-03 |
| 1366050361 | Iris Migdalia Wilson Polanco | General Practice | Calle Genaro Cautino 86 Oeste, Guayama, PR 00784 | 2020-07-16 |
| 1598383713 | Pedro N Cadiz Miranda | General Practice | Urb El Dorado Calle Magnolia B7, Guayama, PR 00784 | 2020-07-14 |
| 1659995439 | Asia Elizabeth Delgado Lorenzo | Physician Assistant | #128 Ave. Ashford, Edif. Ashford Medical Plaza, Suite 201, Guayama, PR 00784 | 2020-06-08 |
| Find all providers in zip 00784 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023437126 | Luke Nelson | Internal Medicine | Num 80 Calle 3 Sur, Guayama, PR 00784 | 2014-04-16 |
| 1205141652 | Mildred Torres | Internal Medicine | Street 9 #379, Bo.olimpo, Guayama, PR 00784 | 2010-08-10 |
| 1619146974 | Manuel Alberto Fernos Suarez | Internal Medicine | Hospital Episcopal San Lucas Guayama, Ste 201, Guayama, PR 00784 | 2008-02-20 |
| 1457550550 | Blanca E Buonomo | Internal Medicine | 71 Parq Interamericana, Guayama, PR 00784-7337 | 2007-07-17 |
| 1023187309 | Ausberto Alejandro Benitez | Internal Medicine | Calle Ashford, #84 Sur, Guayama, PR 00784 | 2006-11-08 |
| 1588751317 | Pedro M Lopez Lopez | Internal Medicine | Edificio Commerce Plaza, Suite 205, Guayama, PR 00784 | 2006-10-05 |
| 1649365008 | Gerson Jimenez | Internal Medicine | 23 Oeste Calle Enrique Gonzalez, Guayama, PR 00784 | 2006-10-03 |
| 1821192386 | Juan Antonio Davila-lopes | Internal Medicine | 46 Calle Vicente Pales Oeste, Guayama, PR 00784-4851 | 2006-09-12 |
| 1144230269 | Roque A Nido Nylund | Internal Medicine | Ave. Los Veteranos #3, Guayama Medical Center, Guayama, PR 00784 | 2006-08-09 |
| 1649207028 | Luis Adrian Rivera-pomales | Internal Medicine | Calle Ashford #62 Norte, Guayama, PR 00784 | 2006-06-28 |
| Find all providers in GUAYAMA | ||||
Please comment or provide details below to improve the information on SOUTHERN HEALTH CARE GROUP, INC..
| 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.