Professional Anesthesia Providers PSC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

9473 Issued in PR

Legal business name

PROFESSIONAL ANESTHESIA PROVIDERS PSC

Practice address

Calle de Diego E # 55
Ofi 207 CPR Building
Mayaguez, PR 00680-4866

Phone

(787) 834-4347

Fax

(787) 265-7750

NPI assigned

Oct 18, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Becerra, MD

Title

President

Phone

(787) 834-4347

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Castro, MD

  • Interventional Pain Medicine Physician
  • Mayaguez, PR
  • NPI 1548368459

  Anesthesiology

  NPD (past)
• Joshua Rafael Gonzalez, CRNA

  • Certified Registered Nurse Anesthetist
  • Mayaguez, PR
  • NPI 1942849849
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1053300541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810939",
            "telephone_number": "787-834-4347",
            "fax_number": "787-265-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE DIEGO E # 55",
            "address_2": "OFI 207 CPR BUILDING",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804866",
            "telephone_number": "787-834-4347",
            "fax_number": "787-265-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ANESTHESIA PROVIDERS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-834-4347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "9473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INS",
            "identifier": "70800051",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "84994",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "208028",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "AN2043",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL",
            "identifier": "068944",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASOCIACION MAESTRO",
            "identifier": "08345",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "03654",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL ME",
            "identifier": "A103",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PE4710",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.