Healthcare Provider Details

I. General information

NPI: 1821117193
Provider Name (Legal Business Name): BIO-MEDICAL APPLICATIONS OF PUERTO RICO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 10/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB VILLA ROSA I HOSPITAL SANTA ROSA II LOS VETERANOS AVENUE
GUAYAMA PR
00784
US

IV. Provider business mailing address

URB VILLA ROSA I HOSPITAL SANTA ROSA II LOS VETERANOS AVENUE
GUAYAMA PR
00784
US

V. Phone/Fax

Practice location:
  • Phone: 787-866-5050
  • Fax: 787-864-4898
Mailing address:
  • Phone: 787-866-5050
  • Fax: 787-864-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0700X
TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number14
License Number StatePR

VIII. Authorized Official

Name: MR. MARK FAWCETT
Title or Position: TREASURER
Credential:
Phone: 781-699-9000