MEDICARE: DR. CARLOS R. BACHIER MD

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	207R00000X	Internal Medicine Physician	010048	PR
2	207R00000X	Internal Medicine Physician	J2487	TX
3	207RH0000X	Hematology (Internal Medicine) Physician	J2487	TX
4	207RX0202X	Medical Oncology Physician	J2487	TX
5	207RX0202X	Medical Oncology Physician	010048	PR
6	207RH0000X	Hematology (Internal Medicine) Physician	010048	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8BX124	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	103281506	OTHER	TX	CSN

General Provider Information

NPI Number	:	1588621031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS R. BACHIER MD

Provider Business Mailing Address
First Line	:	HOSPITAL AUXILIO MUTUO
Second Line	:	AVE JUAN PONCE DE LEON 715
City	:	SAN JUAN
State	:	PR
Zip	:	00917-5032
Country	:	US
Telephone Number	:	787-758-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	HOSPITAL AUXILIO MUTUO
Second Line	:	AVE JUAN PONCE DE LEON 715
City	:	SAN JUAN
State	:	PR
Zip	:	00917-5032
Country	:	US
Telephone Number	:	787-758-2000
Fax Number	:	787-294-2458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	11/06/2023

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