# WHITE GLOVE ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1457131054
- **Authorized official:** LISMARY JIMENEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 309-8545

## Contact information

- **Practice address:** BAYAMON MEDICAL CENTER HOSPITAL, ROAD \#2 KM 11.7, BAYAMON, PR 00959
- **Practice address phone:** (787) 320-8181
- **Mailing address:** MENDEZ VIGO 410 SUITE 103, DORADO, PR 00646-4510
- **Mailing address phone:** (787) 330-5424

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2023
- **Last updated:** 10/02/2023