Southern Pathology Services, Inc.
NPI 1134119233ActiveOrganization· Pathology, Anatomic Pathology· Ponce, PR
Pathology, Anatomic Pathology in Ponce, Puerto Rico, registered in NPPES in October 2005. The authorized official on file is Giovanna Vaquer, Billing Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134119233 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 28, 2005 |
| Last updated in NPPES | Apr 14, 2020 |
| Certified by provider | Apr 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology Primary | 207ZP0101X | — | — |
| Pathology, Clinical Pathology/Laboratory Medicine | 207ZP0105X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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