1528030558 NPI number — ANESTESIA 2000

Table of content: (NPI 1528030558)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528030558 NPI number — ANESTESIA 2000

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANESTESIA 2000
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528030558
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 AVE DE DIEGO
Provider Second Line Business Mailing Address:
SUITE 300 EDIF. SAN JUAN HEALTH CENTRE
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00907-2300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-729-0606
Provider Business Mailing Address Fax Number:
787-729-4242

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150 AVE DE DIEGO
Provider Second Line Business Practice Location Address:
SUITE 300 EDIF. SAN JUAN HEALTH CENTRE
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907-2300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-729-0606
Provider Business Practice Location Address Fax Number:
787-729-4242
Provider Enumeration Date:
02/03/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MATTEI PACHECO
Authorized Official First Name:
ANTONIO
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
787-729-0606

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)