Organization Active NPI

Mak Anesthesia Group CSP

  • Anesthesiology Physician
  • Ponce, PR
National Provider Identifier
1013977404
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11846 Issued in PR
Legal business name
MAK ANESTHESIA GROUP CSP
Practice address
Edificio Parra
Suite 805 2225 Ponce Bipass
Ponce, PR 00716-1320
Phone
(787) 842-7931
Fax
(787) 842-7953
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rosa E Santiago, MD
Title
President
Phone
(787) 842-7931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 11846 PR Primary

Addresses

Primary practice location

Edificio Parra
Suite 805 2225 Ponce Bipass
Ponce, PR 00716-1320

Mailing address

Edificio Parra
Suite 805 2225 Ponce Bipass
Ponce, PR 00716-1320
Phone (787) 842-7931

Other identifiers 1

IdentifierTypeStateIssuer
89548MedicaidPR

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1013977404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIFICIO PARRA",
            "address_2": "SUITE 805 2225 PONCE BIPASS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161320",
            "telephone_number": "787-842-7931",
            "fax_number": "787-842-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO PARRA",
            "address_2": "SUITE 805 2225 PONCE BIPASS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161320",
            "telephone_number": "787-842-7931",
            "fax_number": "787-842-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAK ANESTHESIA GROUP CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-842-7931",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "11846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89548",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.