Healthcare Provider Details
I. General information
NPI: 1760870695
Provider Name (Legal Business Name): BAROMED INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/30/2014
Last Update Date: 12/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
419 PONCE DE LEON AV METROPOLIS BUILDING LOBBY
SAN JUAN PR
00909
US
IV. Provider business mailing address
PO BOX 191667
SAN JUAN PR
00919-1667
US
V. Phone/Fax
- Phone: 787-409-1926
- Fax: 787-250-7959
- Phone: 787-409-1926
- Fax: 787-250-7959
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PE0005X |
| Taxonomy | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 6389 |
| License Number State | PR |
VIII. Authorized Official
Name: MR.
FELIX
RAMIREZ-PEREZ
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 787-409-1926