Basic Information
| Provider Information | |||||||||
| NPI: | 1619267622 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | METORPOLITAE ANESTHESIA AND ANALGESIA | ||||||||
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| OtherOrganizationName: | METORPOLITAE ANESTHESIA AND ANALGESIA SERVICES, PSC | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 144100 | ||||||||
| Address2: | PMB 121 | ||||||||
| City: | ARECIBO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006144100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876507313 | ||||||||
| FaxNumber: | 7876507313 | ||||||||
| Practice Location | |||||||||
| Address1: | AVE SAN LUIS CORR 129 KM 8 | ||||||||
| Address2: | HOSPITAL METROPOLITANO DR CAYETANO | ||||||||
| City: | ARECIBO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876507272 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2011 | ||||||||
| LastUpdateDate: | 04/11/2011 | ||||||||
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| AuthorizedOfficialLastName: | BOSCH-RAMIRES | ||||||||
| AuthorizedOfficialFirstName: | MARCIAL | ||||||||
| AuthorizedOfficialMiddleName: | VICTOR | ||||||||
| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7876507313 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 5709 | PR | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.