Provider Demographics
NPI:1831663681
Name:ATLANTIC ANESTHESIA GROUP ONE PLLC
Entity Type:Organization
Organization Name:ATLANTIC ANESTHESIA GROUP ONE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMENTEROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-674-7942
Mailing Address - Street 1:1100 NW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2038
Mailing Address - Country:US
Mailing Address - Phone:855-350-4681
Mailing Address - Fax:412-937-5704
Practice Address - Street 1:1100 NW 95TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2038
Practice Address - Country:US
Practice Address - Phone:877-328-4775
Practice Address - Fax:412-937-5704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-15
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty