Provider Demographics
NPI:1962731745
Name:ANESTHESIA PROVIDERS GROUP, P.S.C.
Entity type:Organization
Organization Name:ANESTHESIA PROVIDERS GROUP, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / ANESTHESIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:WHATTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DABA
Authorized Official - Phone:787-259-2731
Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:MERCEDITA
Mailing Address - State:PR
Mailing Address - Zip Code:00715-0459
Mailing Address - Country:US
Mailing Address - Phone:787-259-2731
Mailing Address - Fax:787-842-1951
Practice Address - Street 1:216 ISABEL
Practice Address - Street 2:MANSION REAL
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-0000
Practice Address - Country:US
Practice Address - Phone:787-259-2731
Practice Address - Fax:787-842-1951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11030174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty