# SOUTHEAST ANESTHESIA SERVICES, PSC

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

## Provider details

- **NPI number:** 1053830059
- **Authorized official:** DR. JORGE LUIS ROBLES MD (PRESIDENT)
- **Authorized official phone:** (787) 318-0327

## Contact information

- **Practice address:** AVENIDA PEDRO ALBIZU CAMPOS, URBANIZACION LA HACIENDA, GUAYAMA, PR 00784
- **Practice address phone:** (787) 864-4300
- **Mailing address:** PO BOX 2998, GUAYAMA, PR 00785-2998
- **Mailing address phone:** (787) 318-0327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 10980 | PR | Yes |

## Other

- **Enumeration date:** 09/12/2017
- **Last updated:** 09/12/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 399041 | PUERTO RICO DEPARTMENT OF STATE | PR |