Provider Demographics
NPI:1316948540
Name:SAN CRISTOBAL ANESTHESIA CSP
Entity type:Organization
Organization Name:SAN CRISTOBAL ANESTHESIA CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-842-2300
Mailing Address - Street 1:PO BOX 801057
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-1057
Mailing Address - Country:US
Mailing Address - Phone:787-842-2300
Mailing Address - Fax:
Practice Address - Street 1:402 TORRES SAN CRISTOBAL
Practice Address - Street 2:CARR. 506 AVE SAN CRISTOBAL
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780-2856
Practice Address - Country:US
Practice Address - Phone:787-842-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0089171Medicare ID - Type UnspecifiedPROVIDER NUM.