Provider Demographics
NPI:1730308362
Name:INTEGRATED ANESTHESIA GROUP, PSC
Entity Type:Organization
Organization Name:INTEGRATED ANESTHESIA GROUP, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLER SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:GRASIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-831-6680
Mailing Address - Street 1:PO BOX 7999
Mailing Address - Street 2:PMB 1065
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-7999
Mailing Address - Country:US
Mailing Address - Phone:787-831-6680
Mailing Address - Fax:
Practice Address - Street 1:410 HOSTOS AVE.
Practice Address - Street 2:BO. SABALOS
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-831-6680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty