1497137814 NPI number — QUALITY ANESTHESIA SERVICES PSC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497137814 NPI number — QUALITY ANESTHESIA SERVICES PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY ANESTHESIA SERVICES PSC
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:
1497137814
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/22/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
576 CALLE MAR CARIBE
Provider Second Line Business Mailing Address:
PASEO LOS CORALES 1
Provider Business Mailing Address City Name:
DORADO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00646-4506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-303-0198
Provider Business Mailing Address Fax Number:
787-665-7215

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR. 696 BO HIGUILLAR
Provider Second Line Business Practice Location Address:
PLAZA DORAVILLE
Provider Business Practice Location Address City Name:
DORADO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00646-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-303-0198
Provider Business Practice Location Address Fax Number:
787-665-7215
Provider Enumeration Date:
06/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
JANICE
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
787-303-0198

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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