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General NPI Number Information
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NPI Number | 1003235615
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Entity Type | Organization
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Legal Business Name | CENTRO DE SERVICIOS DE SALUD DE BAYAMON
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 72-26 CALLE 45
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City | BAYAMON
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State | PR
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Zip | 00961-4310
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Country | US
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Telephone | 787-241-4229
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Fax |
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Provider Business Mailing Address
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Address Line | IF-48 AVE. LOMAS VERDES URB. ROYAL PALM
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-241-4229
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HEC MANUELY RIVERA
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Credential | M.D
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Telephone | 787-241-4229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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