Healthcare Provider Details
I. General information
NPI: 1467396549
Provider Name (Legal Business Name): MEDICOS HOSPITALISTAS SURESTE CSP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21 MUNOZ RIVERA
SALINAS PR
00751
US
IV. Provider business mailing address
PO BOX 523
SALINAS PR
00751-0523
US
V. Phone/Fax
- Phone: 787-824-1853
- Fax:
- Phone: 787-824-1853
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HECTOR
L
RUIZ
Title or Position: CEO
Credential: MD
Phone: 787-824-1853