Organization · NPI-2

Dr Susoni Health Community Services Corp

Anesthesiology · Arecibo, PR

NPI number1053945022

StatusActive

Last updated in NPPESSep 26, 2023

Details

NPI: 1053945022
Entity type: Organization (NPI-2)
Legal business name: Dr Susoni Health Community Services Corp
Organization subpart: Yes
Enumeration date: Feb 27, 2020
Certification date: Sep 26, 2023
Last updated: Sep 26, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207L00000X	Anesthesiology	–	–	Yes
207RP1001X	Internal Medicine, Pulmonary Disease	–	–
208800000X	Urology	–	–

Other names

Hospital Pavia Arecibo (Doing Business As)

Practice location

Carr, 129 Km 1.0
Ave San Luis
Arecibo, PR 00613-0659

Phone 787-650-7272 · Fax 787-650-7310

Mailing address

Po Box 659
Arecibo, PR 00613-0659

Phone 787-650-7272 · Fax 787-650-7310

Authorized official

Juan L Medina
Billing And Collections Director
7876507272

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