Provider Demographics
NPI:1255712584
Name:KR ANESTHESIOLOGY SERVICES LLC
Entity type:Organization
Organization Name:KR ANESTHESIOLOGY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARINES
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-608-8783
Mailing Address - Street 1:224 CALLE LIRIO
Mailing Address - Street 2:URB. SAN RAFAEL ESTATE
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-4294
Mailing Address - Country:US
Mailing Address - Phone:787-608-8783
Mailing Address - Fax:
Practice Address - Street 1:550 CALLE CONCEPCION VERA
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-5005
Practice Address - Country:US
Practice Address - Phone:787-877-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18110207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty