Provider Demographics
NPI:1295142685
Name:SERVICIOS DE ANESTESIA Y ACUPUNTURA BETANCES INC
Entity type:Organization
Organization Name:SERVICIOS DE ANESTESIA Y ACUPUNTURA BETANCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:FRITZ
Authorized Official - Middle Name:E
Authorized Official - Last Name:RODRIGUEZ-SALLABERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-509-6573
Mailing Address - Street 1:400 CONDOMINIO PASEO TAINO
Mailing Address - Street 2:APTO 403
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622
Mailing Address - Country:US
Mailing Address - Phone:787-509-6573
Mailing Address - Fax:
Practice Address - Street 1:#170 CALLE DE LA CANDELARIA
Practice Address - Street 2:ESQUINQ LICEO
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-509-6573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11952207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty