Healthcare Provider Details

I. General information

NPI: 1861641391
Provider Name (Legal Business Name): ANESTESIOLOGOS CLINICA LAS AMERICAS,ACLA PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2008
Last Update Date: 09/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 AVE FD ROOSEVELT CLINICA LAS AMERICAS SUITE 301
SAN JUAN PR
00918-2103
US

IV. Provider business mailing address

VILLA CAPARRA, 26 CALLE J
GUAYNABO PR
00966-2202
US

V. Phone/Fax

Practice location:
  • Phone: 787-413-4375
  • Fax: 787-783-5007
Mailing address:
  • Phone: 787-413-4375
  • Fax: 787-783-5007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERICK L. RAMIREZ-BUSIGO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-413-4375