1336121201 NPI number — METROPOLITAN ANESTHESIA AND ANALGESIA SERVICES INC

Table of content: MICHELE LEE BODINE APRN (NPI 1558978221)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336121201 NPI number — METROPOLITAN ANESTHESIA AND ANALGESIA SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
METROPOLITAN ANESTHESIA AND ANALGESIA SERVICES INC
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:
1336121201
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 144100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARECIBO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00614-4100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-650-7313
Provider Business Mailing Address Fax Number:
787-650-7313

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSPITAL DR CAYETANO COLL Y TOSTE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-650-7313
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
BOSCH RAMIREZ
Authorized Official First Name:
MARCIAL
Authorized Official Middle Name:
V
Authorized Official Title or Position:
DIRESCTOR PRESIDENT
Authorized Official Telephone Number:
787-650-7313

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  5709 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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