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General NPI Number Information
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NPI Number | 1578681771
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Entity Type | Organization
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Legal Business Name | BAMEDICAL
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 951 AVE AMERICO MIRANDA
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City | SAN JUAN
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State | PR
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Zip | 00921-2801
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Country | US
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Telephone | 787-771-9547
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Fax | 787-771-9735
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Provider Business Mailing Address
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Address Line | PO BOX 2771
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City | CAROLINA
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State | PR
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Zip | 00984-2771
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Country | US
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Telephone | 787-771-9147
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Fax | 787-771-9735
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANUEL BARRERA
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Credential | M.D.
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Telephone | 787-771-9147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1322410001
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License Number State | PR
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