Organization
TACTICAL ANESTHESIA, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN RAMON JIMENEZ M.D. (PRESIDENTE)
(787) 997-0870
Entity
Organization
Contact information
Practice address
2 AVE SEVERIANO CUEVAS, HOSP. BUEN SAMARITANO 3ER PISO OFICINA 330, AGUADILLA, PR 00603-5500
(787) 997-0870
(787) 997-0870
Mailing address
PO BOX 250435, AGUADILLA, PR 00604-0435
(787) 997-0870
(787) 997-0870
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
10854
PR
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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