# PRESBYTERIAN MEDICAL ANESTHESIA GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Presbyterian Respiratory Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851376040
- **Authorized official:** DR. BELISARIO MATTA DE JUAN SR. M.D. (ADMINISTRATIVE PARTNER)
- **Authorized official phone:** (787) 725-7860

## Contact information

- **Practice address:** PMB 423 1357 ASHFORD AVENUE, SUITE 2, SAN JUAN, PR 00907-1420
- **Practice address phone:** (787) 725-7860
- **Practice address fax:** (787) 722-3630
- **Mailing address:** 1451 ASHFORD, SUITE 2, SAN JUAN, PR 00907-1511
- **Mailing address phone:** (787) 725-7860
- **Mailing address fax:** (787) 722-3630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 4154 | PR | Yes |

## Other

- **Enumeration date:** 12/09/2005
- **Last updated:** 08/22/2020
