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NPI Code Detail

MEDICARE: GRH ANESTHESIA GROUP, PSC

MEDICARE: GRH ANESTHESIA GROUP, 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
1207L00000XAnesthesiology Physician
2207LP2900XPain Medicine (Anesthesiology) Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
184945OTHERPRSSS

General Provider Information

NPI Number : 1770527632
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRH ANESTHESIA GROUP, PSC
Provider Business Mailing Address
First Line : COND TORRE AUXILIO MUTUO OFICINA 704
Second Line : 735 AVE PONCE DE LEON
City : SAN JUAN
State : PR
Zip : 00917-5026
Country : US
Telephone Number : 787-765-8620
Fax Number : 787-767-6138
Provider Business Practice Location Address
First Line : COND TORRE AUXILIO MUTUO OFICINA 704
Second Line : 735 AVE PONCE DE LEON
City : SAN JUAN
State : PR
Zip : 00917-5026
Country : US
Telephone Number : 787-765-8620
Fax Number : 787-767-6138
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : AIXA MORENO
Credential :
Telephone Number : 787-765-8620
Provider Enumeration Date : 06/15/2006
Last Update Date : 09/11/2025

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Directions to “GRH ANESTHESIA GROUP, PSC ” Practice Location

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