Basic Information
| Provider Information | |||||||||
| NPI: | 1235425174 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARES ANESTESIA PSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 19017 | ||||||||
| Address2: | FERNANDEZ JUNCOS STA. | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009101017 | ||||||||
| CountryCode: | US | ||||||||
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| FaxNumber: | 7872680076 | ||||||||
| Practice Location | |||||||||
| Address1: | AVE PONCE DE LEON | ||||||||
| Address2: | EDIF. 435 2ND FLOOR | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009073907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877276555 | ||||||||
| FaxNumber: | 7872680076 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2011 | ||||||||
| LastUpdateDate: | 06/20/2011 | ||||||||
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| AuthorizedOfficialLastName: | BARCELO | ||||||||
| AuthorizedOfficialFirstName: | JOSE | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7877276555 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 6637 | PR | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.