Provider Demographics
NPI:1558406850
Name:AMR ANESTHESIA SERVICES PSC
Entity Type:Organization
Organization Name:AMR ANESTHESIA SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-286-1012
Mailing Address - Street 1:PO BOX 4952
Mailing Address - Street 2:PMB 571
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4952
Mailing Address - Country:US
Mailing Address - Phone:787-286-1012
Mailing Address - Fax:787-745-6286
Practice Address - Street 1:MAYAGUEZ MEDICAL CENTER-ADVANCED CARDIOLOGY CENTER
Practice Address - Street 2:HOSTOS AVE.
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00681-1838
Practice Address - Country:US
Practice Address - Phone:787-834-8695
Practice Address - Fax:787-834-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11326207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI29191Medicare UPIN