Organization
SOUTHEAST ANESTHESIA SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE LUIS ROBLES MD (PRESIDENT)
(787) 318-0327
Entity
Organization
Contact information
Practice address
AVENIDA PEDRO ALBIZU CAMPOS, URBANIZACION LA HACIENDA, GUAYAMA, PR 00784
(787) 864-4300
Mailing address
PO BOX 2998, GUAYAMA, PR 00785-2998
(787) 318-0327
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10980
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399041
PUERTO RICO DEPARTMENT OF STATE
PR
Enumeration date
09/12/2017
Last updated
09/12/2017
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