# STATE OF THE ART ANESTHESIA PSC

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

## Provider details

- **NPI number:** 1669843090
- **Authorized official:** DR. IBSEN PEREZ SANTINI M (ANESTHESIOLOGY)
- **Authorized official phone:** (787) 303-0198

## Contact information

- **Practice address:** 520 CALLE GOLFO DE NICOYA, PASEO LOS CORALES 1, DORADO, PR 00646-4510
- **Practice address phone:** (787) 303-0198
- **Mailing address:** 100 CALLE DEL MUELLE, SUITE 501, SAN JUAN, PR 00901-2616
- **Mailing address phone:** (787) 665-7215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 13848 | PR | Yes |

## Other

- **Enumeration date:** 10/12/2015
- **Last updated:** 10/12/2015