# ANESTESIA LLC

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

## Provider details

- **NPI number:** 1548873920
- **Authorized official:** MANUEL A MATOS MEDINA MD (PRESIDENT)
- **Authorized official phone:** (787) 378-3912

## Contact information

- **Practice address:** URB VILLA LUCIA, 34 CALLE CEDRO, ARECIBO, PR 00612
- **Practice address phone:** (787) 378-3911
- **Practice address fax:** (787) 862-3532
- **Mailing address:** PO BOX 472, ARECIBO, PR 00613-0472
- **Mailing address phone:** (787) 378-3911
- **Mailing address fax:** (787) 862-3532

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2020
- **Last updated:** 08/26/2020