Provider Demographics
NPI:1003148123
Name:GALOPE ANESTHESIA SERVICES CORP
Entity Type:Organization
Organization Name:GALOPE ANESTHESIA SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADALBERTO
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:I
Authorized Official - Credentials:MD
Authorized Official - Phone:787-626-5602
Mailing Address - Street 1:PASEO LOS CORALES I
Mailing Address - Street 2:576 MAR CARIBE
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-626-5602
Mailing Address - Fax:787-626-5602
Practice Address - Street 1:DOCTOR' CENTER HOSPITAL SAN JUAN
Practice Address - Street 2:SAN RAFAEL 1395
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00910-3428
Practice Address - Country:US
Practice Address - Phone:787-626-5602
Practice Address - Fax:787-626-5602
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GALOPE ANESTHESIA SERVICES CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12198282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI 18835Medicare UPIN