Provider Demographics
NPI:1568344901
Name:SOUTH-CENTRAL EMERGENCY GROUP LLC
Entity type:Organization
Organization Name:SOUTH-CENTRAL EMERGENCY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ORLANDO
Authorized Official - Last Name:RIVERA RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-207-7900
Mailing Address - Street 1:PO BOX 3504
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-3504
Mailing Address - Country:US
Mailing Address - Phone:787-207-7900
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL MENONITA CAYEY
Practice Address - Street 2:BO RINCON SECT LOMAS CARR 14
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-0001
Practice Address - Country:US
Practice Address - Phone:787-207-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty