Basic Information
| Provider Information | |||||||||
| NPI: | 1255712584 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KR ANESTHESIOLOGY SERVICES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 224 CALLE LIRIO | ||||||||
| Address2: | URB. SAN RAFAEL ESTATE | ||||||||
| City: | BAYAMON | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009594294 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876088783 | ||||||||
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| Practice Location | |||||||||
| Address1: | 550 CALLE CONCEPCION VERA | ||||||||
| Address2: | |||||||||
| City: | MOCA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006765005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7878778000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2015 | ||||||||
| LastUpdateDate: | 06/11/2015 | ||||||||
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| AuthorizedOfficialLastName: | RIVERA MARRERO | ||||||||
| AuthorizedOfficialFirstName: | KARINES | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7876088783 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 18110 | PR | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.