# BORINQUEN ANESTHESIA SERVICES

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

## Provider details

- **NPI number:** 1447472832
- **Authorized official:** JORGE A ACEVEDO M.D. (PARTNER)
- **Authorized official phone:** (787) 735-3004

## Contact information

- **Practice address:** STANLEY MILLER ST. MENNONITE GENERAL HOSPITAL, SUITE 107, AIBONITO, PR 00705
- **Practice address phone:** (787) 735-3004
- **Practice address fax:** (787) 735-8057
- **Mailing address:** P.O. BOX 1604, AIBONITO, PR 00705
- **Mailing address phone:** (787) 735-3004
- **Mailing address fax:** (787) 735-8057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 14192 | PR | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 12/12/2012