# DBA HUMACAO ANESTHESIA SERVICE

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

## Provider details

- **NPI number:** 1255517165
- **Authorized official:** DR. AHMED BAJANDAS DALY M.D. (ANESTESIOLOGO)
- **Authorized official phone:** (787) 852-1945

## Contact information

- **Practice address:** URBANIZACION RIVERA DONATO CALLE JESUS M. RIVERA, F9, HUMACAO, PR 00791
- **Practice address phone:** (787) 852-1945
- **Practice address fax:** (787) 850-2210
- **Mailing address:** PO BOX 489, HUMACAO, PR 00792-0489
- **Mailing address phone:** (787) 852-1945
- **Mailing address fax:** (787) 850-2210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2008
- **Last updated:** 02/13/2008