Healthcare Provider Details

I. General information

NPI: 1457144800
Provider Name (Legal Business Name): PREI BAYAMON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

METRO MEDICAL CENTER 1995 PR 2 STE 401-410
BAYAMON PR
00959
US

IV. Provider business mailing address

PLAZA BAIROA 1 AVE FOMENTO SUITE 1
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-3030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number
License Number State

VIII. Authorized Official

Name: CARLOS FERNANDEZ SANTOS
Title or Position: PRESIDENT
Credential: MD
Phone: 787-641-3030