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NPI Code Detail

MEDICARE: PREI BAYAMON

MEDICARE: PREI BAYAMON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0120XCornea and External Diseases Specialist Physician
2207W00000XOphthalmology Physician
3207WX0009XGlaucoma Specialist (Ophthalmology) Physician
4207WX0107XRetina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number : 1457144800
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREI BAYAMON
Provider Business Mailing Address
First Line : PLAZA BAIROA
Second Line : 1 AVE FOMENTO SUITE 1
City : CAGUAS
State : PR
Zip : 00725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : METRO MEDICAL CENTER
Second Line : 1995 PR 2 STE 401-410
City : BAYAMON
State : PR
Zip : 00959
Country : US
Telephone Number : 787-641-3030
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CARLOS FERNANDEZ SANTOS
Credential : MD
Telephone Number : 787-641-3030
Provider Enumeration Date : 05/28/2025
Last Update Date : 05/28/2025

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Directions to “PREI BAYAMON ” Practice Location

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