Active NPI
South Cntral Anesthesia CSP
- Pain Medicine (Anesthesiology) Physician
- Guayama, PR
National Provider Identifier
1417900549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 5608
- Legal business name
- SOUTH CNTRAL ANESTHESIA CSP
- Practice address
- Villa Rosa I Street
#1
Guayama, PR 00784 - Phone
- (787) 864-7100
- Fax
- (787) 864-4554
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eduardo L Gonzalez Sr., MD
- Title
- President
- Phone
- (787) 380-6992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 5608 | PR | Primary |
Addresses
Primary practice location
Villa Rosa I Street
#1
Guayama, PR 00784
Mailing address
PO Box 428
Guayama, PR 00785-0428
Phone (787) 864-7100
Other names 1
- SOUTH CENTRAL ANESTHESIA & ASOOCIATES
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Tampa, FL
- NPI 1932106176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417900549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007850428",
"telephone_number": "787-864-7100",
"fax_number": "787-864-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VILLA ROSA I STREET",
"address_2": "#1",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-864-7100",
"fax_number": "787-864-4554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CNTRAL ANESTHESIA CSP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "EDUARDO",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-380-6992",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "PR",
"license": "5608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SOUTH CENTRAL ANESTHESIA & ASOOCIATES",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Guayama, PR
- Mayra J Sosa, MS
- Maylene Soto Cartagena, PHARM.D
- Eliomar Soto Malave Sr., MD
- Oriana Priscila Soto, PA
- Sara I Soto, PSYD
- Southeast Anesthesia Services, PSC
- Southeast Gastroenterology PSC
- Southeastern Healthcare Holdings LLC
- Southeastern in Hospital Medical Services LLC
- Southern Health Care Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.