Provider Demographics
NPI:1326243650
Name:B & C ANESTHESIA SERVICES PSC
Entity Type:Organization
Organization Name:B & C ANESTHESIA SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARCELO FRONTERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-727-6555
Mailing Address - Street 1:PO BOX 19017
Mailing Address - Street 2:FERNANDEZ JUNCOS STA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1017
Mailing Address - Country:US
Mailing Address - Phone:787-727-6555
Mailing Address - Fax:787-268-0076
Practice Address - Street 1:1462 CALLE PROF AUGUSTO RODRIGUEZ
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2145
Practice Address - Country:US
Practice Address - Phone:787-727-6555
Practice Address - Fax:787-268-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8202207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0085335Medicare PIN