MEDICARE: GALOPE ANESTHESIA SERVICES CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	12198	PR

General Provider Information

NPI Number	:	1003148123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALOPE ANESTHESIA SERVICES CORP

Provider Business Mailing Address
First Line	:	PASEO LOS CORALES I
Second Line	:	576 MAR CARIBE
City	:	DORADO
State	:	PR
Zip	:	00646
Country	:	US
Telephone Number	:	787-626-5602
Fax Number	:	787-626-5602

Provider Business Practice Location Address
First Line	:	DOCTOR' CENTER HOSPITAL SAN JUAN
Second Line	:	SAN RAFAEL 1395
City	:	SAN JUAN
State	:	PR
Zip	:	00910-3428
Country	:	US
Telephone Number	:	787-626-5602
Fax Number	:	787-626-5602

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ADALBERTO J LOPEZ I
Credential	:	M.D.
Telephone Number	:	787-626-5602

Provider Enumeration Date	:	02/01/2010
Last Update Date	:	02/01/2010

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