# ADVANCED PAIN SPECIALISTS

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

## Provider details

- **NPI number:** 1255743738
- **Authorized official:** RICARDO BORREGO M.D. (PRESIDENT)
- **Authorized official phone:** (313) 300-8682

## Contact information

- **Practice address:** 18100 OAKWOOD BLVD STE 203, DEARBORN, MI 48124-4085
- **Practice address phone:** (313) 929-7246
- **Mailing address:** PO BOX 674809, DETROIT, MI 48267-4809
- **Mailing address phone:** (734) 212-3097
- **Mailing address fax:** (734) 212-3114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2014
- **Last updated:** 07/22/2015
