# MAK ANESTHESIA GROUP CSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013977404
- **Authorized official:** MRS. ROSA E SANTIAGO MD (PRESIDENT)
- **Authorized official phone:** (787) 842-7931

## Contact information

- **Practice address:** EDIFICIO PARRA, SUITE 805 2225 PONCE BIPASS, PONCE, PR 00716-1320
- **Practice address phone:** (787) 842-7931
- **Practice address fax:** (787) 842-7953
- **Mailing address:** EDIFICIO PARRA, SUITE 805 2225 PONCE BIPASS, PONCE, PR 00716-1320
- **Mailing address phone:** (787) 842-7931
- **Mailing address fax:** (787) 842-7953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 11846 | PR | Yes |

## Other

- **Enumeration date:** 03/28/2006
- **Last updated:** 04/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89548 | — | PR |