Provider Demographics
NPI:1043587785
Name:GALOPE ANESTHESIA SERVICES, PSC
Entity Type:Organization
Organization Name:GALOPE ANESTHESIA SERVICES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:D
Authorized Official - Last Name:GALAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-626-5602
Mailing Address - Street 1:576 MAR CARIBE ST.
Mailing Address - Street 2:PASEO LOS CORALES I
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:J-9 ST. HERMANAS DAVILAS
Practice Address - Street 2:DOCTORS' HOSPITAL CENTER-BAYAMON AND SAN JUAN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-0000
Practice Address - Country:US
Practice Address - Phone:787-622-5420
Practice Address - Fax:787-626-5602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12198207L00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No282N00000XHospitalsGeneral Acute Care HospitalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FB481AMedicare UPIN