MEDICARE: B & C ANESTHESIA SERVICES PSC

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	207L00000X	Anesthesiology Physician	8202	PR

General Provider Information

NPI Number	:	1326243650
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & C ANESTHESIA SERVICES PSC

Provider Business Mailing Address
First Line	:	PO BOX 19017
Second Line	:	FERNANDEZ JUNCOS STA
City	:	SAN JUAN
State	:	PR
Zip	:	00910-1017
Country	:	US
Telephone Number	:	787-727-6555
Fax Number	:	787-268-0076

Provider Business Practice Location Address
First Line	:	1462 CALLE PROF AUGUSTO RODRIGUEZ
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00909-2145
Country	:	US
Telephone Number	:	787-727-6555
Fax Number	:	787-268-0076

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSE A BARCELO FRONTERA
Credential	:	MD
Telephone Number	:	787-727-6555

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	04/04/2014

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