State of the Art Anesthesia PSC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

13848 Issued in PR

Legal business name

STATE OF THE ART ANESTHESIA PSC

Practice address

520 Calle Golfo de Nicoya
Paseo Los Corales 1
Dorado, PR 00646-4510

Phone

(787) 303-0198

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ibsen Perez Santini, M

Title

Anesthesiology

Phone

(787) 303-0198

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1669843090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE DEL MUELLE",
            "address_2": "SUITE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012616",
            "telephone_number": "787-665-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CALLE GOLFO DE NICOYA",
            "address_2": "PASEO LOS CORALES 1",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464510",
            "telephone_number": "787-303-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF THE ART ANESTHESIA PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "PEREZ SANTINI",
        "authorized_official_first_name": "IBSEN",
        "authorized_official_title_or_position": "ANESTHESIOLOGY",
        "authorized_official_telephone_number": "787-303-0198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "13848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesly Miguel Sosa Jr.
• Charlene M. Soto Martinez, MA
• Amanda Raquel Soto, PHARMD
• Maribel Soto Soto
• Specialized Eye Institute, LLC
• Suncoast Medical Supplies, Inc.
• Sunset Health & Rehabilitation
• Terapias Azul Celeste
• The Walk in Clinic Inc
• Javier Lorenzo Tirado Manzano, MD

• Anesthesiology Physician in Dorado, PR
• Providers in Dorado, 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 Oct 12, 2015; 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.