Tactical Anesthesia, PSC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

10854 Issued in PR

Legal business name

TACTICAL ANESTHESIA, PSC

Practice address

2 Ave Severiano Cuevas
Hosp. Buen Samaritano 3ER Piso Oficina 330
Aguadilla, PR 00603-5500

Phone

(787) 997-0870

Fax

(787) 997-0870

NPI assigned

Dec 30, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Juan Ramon Jimenez, M.D.NPI 1144414665

Title

Presidente

Phone

(787) 997-0870

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Ramon Jimenez, M.D.

  • Anesthesiology Physician
  • Aguadilla, PR
  • NPI 1144414665
  NPD (past) Authorized official

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1265702724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250435",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006040435",
            "telephone_number": "787-997-0870",
            "fax_number": "787-997-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AVE SEVERIANO CUEVAS",
            "address_2": "HOSP. BUEN SAMARITANO 3ER PISO OFICINA 330",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035500",
            "telephone_number": "787-997-0870",
            "fax_number": "787-997-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACTICAL ANESTHESIA, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-997-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PR",
            "license": "10854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaris Suarez-Gonzalez
• Scott Suazo Humphreys, PA
• Super Heroes 5K Inc
• Moises Suzana Abreu
• Sylvette G Peterson
• Wanda I Talavera Muniz, PHD
• Samagy Laura Tejada-Flores, MD
• Terapia Fisica Deliz LLC
• The Green Spa LLC
• Time Orthopedic Corp

• Pain Medicine (Anesthesiology) Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Pain Medicine (Anesthesiology) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.