State of the Art Anesthesia Corp

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

13848 Issued in PR

Legal business name

STATE OF THE ART ANESTHESIA CORP

Practice address

100 Calle del Muelle
Sute 501
San Juan, PR 00901-2616

Phone

(787) 289-2222

Fax

(787) 848-0318

NPI assigned

Apr 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ibssen M Perez Santini, M.D.

Title

President

Phone

(787) 289-2222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 2

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

• Ibsen Perez Santini, MD

  • Anesthesiology Physician
  • San Juan, PR
  • NPI 1619974250
  Medicare reassignment
• Francisco Manuel Dubocq-Berdeguez, M.D.

  • Urology Physician
  • Bayamon, PR
  • NPI 1487699906
  NPD (past)

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1760869812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE DEL MUELLE",
            "address_2": "SUTE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012616",
            "telephone_number": "787-289-2222",
            "fax_number": "787-848-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CALLE DEL MUELLE",
            "address_2": "SUTE 501",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012616",
            "telephone_number": "787-289-2222",
            "fax_number": "787-848-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF THE ART ANESTHESIA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ SANTINI",
        "authorized_official_first_name": "IBSSEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-289-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "13848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in San Juan, PR
• Providers in San Juan, 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 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.