Healthcare Provider Details

I. General information

NPI: 1437060530
Provider Name (Legal Business Name): GFR ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 AVE SAN LUIS
ARECIBO PR
00612-3637
US

IV. Provider business mailing address

200 CALLE ALCALA APT 702
SAN JUAN PR
00921-3918
US

V. Phone/Fax

Practice location:
  • Phone: 787-650-7272
  • Fax:
Mailing address:
  • Phone: 787-236-9365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GABRIEL FUENTES
Title or Position: ANESTHESIOLOGIST
Credential: MD
Phone: 787-236-9365