| Doctor Name: | DR. JOSE J BAUERMEISTER |
| NPI Number: | 1013128107 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 33 |
| Business Practice Address: | 177 Las Caobas St. Urn Hyde Park San Juan, PR - 009274230 |
| Business Phone Number: | 7877631946 |
| Business Fax Number: | 7877584561 |
| Mailing Address: | 177 Las Caobas St., Urb Hyde Park SAN JUAN |
| State: | PR |
| Postal Code: | 009274230 |
| Phone Number: | 7877631946 |
| Fax Number: | 7877584561 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |