Provider Demographics
NPI:1376669234
Name:DEG ANESTHESIA GROUP, PSC
Entity Type:Organization
Organization Name:DEG ANESTHESIA GROUP, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:G
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-543-0631
Mailing Address - Street 1:3 CALLE SOR TERESA SANCHEZ
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-3501
Mailing Address - Country:US
Mailing Address - Phone:787-543-0631
Mailing Address - Fax:787-267-4236
Practice Address - Street 1:2435 BLVD LUIS A FERRE
Practice Address - Street 2:HOSPITAL METROPOLITANO DR. PILA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2112
Practice Address - Country:US
Practice Address - Phone:787-856-4374
Practice Address - Fax:787-267-4236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12951207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty