Healthcare Provider Details

I. General information

NPI: 1801050596
Provider Name (Legal Business Name): BAYAMON HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 07/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STREET MANUEL F. ROSSY, ESQ. ISABEL II
BAYAMON PR
00960-2759
US

IV. Provider business mailing address

PO BOX 2759
BAYAMON PR
00960-2759
US

V. Phone/Fax

Practice location:
  • Phone: 787-995-1911
  • Fax: 787-798-0340
Mailing address:
  • Phone: 787-995-1911
  • Fax: 787-798-0340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS TAMARA BEHAR YBARRA
Title or Position: DIRECTOR EXECUTIVE
Credential: MD
Phone: 787-995-1911