Provider Demographics
NPI:1497137814
Name:QUALITY ANESTHESIA SERVICES PSC
Entity Type:Organization
Organization Name:QUALITY ANESTHESIA SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-303-0198
Mailing Address - Street 1:576 CALLE MAR CARIBE
Mailing Address - Street 2:PASEO LOS CORALES 1
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4506
Mailing Address - Country:US
Mailing Address - Phone:787-303-0198
Mailing Address - Fax:787-665-7215
Practice Address - Street 1:CARR. 696 BO HIGUILLAR
Practice Address - Street 2:PLAZA DORAVILLE
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-0000
Practice Address - Country:US
Practice Address - Phone:787-303-0198
Practice Address - Fax:787-665-7215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI18759Medicare UPIN