Healthcare Provider Details

I. General information

NPI: 1558415828
Provider Name (Legal Business Name): TAMARA BEHAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 AVE SAN IGNACIO APT 504
GUAYNABO PR
00969-4310
US

IV. Provider business mailing address

22 AVE SAN IGNACIO APT 504
GUAYNABO PR
00969-4310
US

V. Phone/Fax

Practice location:
  • Phone: 787-225-6629
  • Fax: 787-225-6629
Mailing address:
  • Phone: 787-225-6629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9541
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: