Healthcare Provider Details

I. General information

NPI: 1346162443
Provider Name (Legal Business Name): BIO-LOGIQUE PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 AVE. ORTEGON EDIF. CAPARRA GALERY SUITE 207
GUAYNABO PR
00966
US

IV. Provider business mailing address

C6 CALLE CALLE ALMENDRO URB. VILLA HUCAR
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-378-7640
  • Fax:
Mailing address:
  • Phone: 787-378-7640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSE NEGRON PEREZ
Title or Position: PRESIDENT
Credential: MD
Phone: 787-378-7640