Organization Name: | CENTRO DE SERVICIOS DE SALUD DE BAYAMON |
NPI Number: | 1528417268 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEC M RIVERA (PRESIDENT) |
Mailing Address: | 150 Ave Los Conquistadores Marina Bahia Plaza Local 1 Catano |
State: | PR US |
Postal Code: | 00962 |
Phone Number: | 7875208449 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 16122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |