Healthcare Provider Details

I. General information

NPI: 1306081690
Provider Name (Legal Business Name): BBCM GROUP HOLDINGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 12/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 CALLE SAN JORGE
SAN JUAN PR
00912-3313
US

IV. Provider business mailing address

409 CALLE SAN JORGE
SAN JUAN PR
00912-3313
US

V. Phone/Fax

Practice location:
  • Phone: 787-726-2272
  • Fax: 787-982-5960
Mailing address:
  • Phone: 787-726-2272
  • Fax: 787-982-5960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES MERCADO
Title or Position: PRESIDENT
Credential:
Phone: 787-726-2272