Provider Demographics
NPI:1619267622
Name:METORPOLITAE ANESTHESIA AND ANALGESIA
Entity Type:Organization
Organization Name:METORPOLITAE ANESTHESIA AND ANALGESIA
Other - Org Name:METORPOLITAE ANESTHESIA AND ANALGESIA SERVICES, PSC
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCIAL
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:BOSCH-RAMIRES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-650-7313
Mailing Address - Street 1:P.O. BOX 144100
Mailing Address - Street 2:PMB 121
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-4100
Mailing Address - Country:US
Mailing Address - Phone:787-650-7313
Mailing Address - Fax:787-650-7313
Practice Address - Street 1:AVE SAN LUIS CORR 129 KM 8
Practice Address - Street 2:HOSPITAL METROPOLITANO DR CAYETANO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-650-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5709207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
26896Medicare PIN