Provider Demographics
NPI:1568469385
Name:LAS AMERICAS AMBULATORY SURGICAL CENTER
Entity Type:Organization
Organization Name:LAS AMERICAS AMBULATORY SURGICAL CENTER
Other - Org Name:LAASC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:
Authorized Official - Last Name:CANETY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-767-2540
Mailing Address - Street 1:AVE ROOSEVELT
Mailing Address - Street 2:
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00917-2710
Mailing Address - Country:US
Mailing Address - Phone:787-767-2515
Mailing Address - Fax:
Practice Address - Street 1:AVE ROOSEVELT
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-2710
Practice Address - Country:US
Practice Address - Phone:787-767-2540
Practice Address - Fax:787-250-8597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR100261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR11108Medicare ID - Type UnspecifiedASC