Provider Demographics
NPI:1780286542
Name:SERVICIOS DE ANESTESIA HOSPITAL SAN CARLOS BORROMEO
Entity type:Organization
Organization Name:SERVICIOS DE ANESTESIA HOSPITAL SAN CARLOS BORROMEO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSAIDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CRESPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-877-8000
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-0068
Mailing Address - Country:US
Mailing Address - Phone:787-877-8000
Mailing Address - Fax:
Practice Address - Street 1:CARR. 110 BARRIO PUEBLO CALLE CONCEPCION VERA
Practice Address - Street 2:#550 S
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-0068
Practice Address - Country:US
Practice Address - Phone:787-877-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SERVICIOS DE ANESTESIA HOSPITAL SAN CARLOS BORROMEO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-16
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
No282NR1301XHospitalsGeneral Acute Care HospitalRuralGroup - Single Specialty