Provider Demographics
NPI:1437154838
Name:ANESTHESIA MEDICAL CONSULTANTS PSC
Entity Type:Organization
Organization Name:ANESTHESIA MEDICAL CONSULTANTS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CUMMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-834-1548
Mailing Address - Street 1:PO BOX 1839
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-1839
Mailing Address - Country:US
Mailing Address - Phone:787-834-1548
Mailing Address - Fax:787-834-1919
Practice Address - Street 1:CALLE PERAL 14 N SUITE 4B
Practice Address - Street 2:EDIF LA PALMA
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-834-1548
Practice Address - Fax:787-834-1919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7223207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherEIN
PR88700Medicare ID - Type Unspecified
PRD26738Medicare UPIN