MEDICARE: BAMEDICAL

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	1322410001	PR

General Provider Information

NPI Number	:	1578681771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAMEDICAL

Provider Business Mailing Address
First Line	:	PO BOX 2771
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00984-2771
Country	:	US
Telephone Number	:	787-771-9147
Fax Number	:	787-771-9735

Provider Business Practice Location Address
First Line	:	951 AVE AMERICO MIRANDA
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2801
Country	:	US
Telephone Number	:	787-771-9547
Fax Number	:	787-771-9735

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MANUEL BARRERA
Credential	:	M.D.
Telephone Number	:	787-771-9147

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

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Directions to “BAMEDICAL ” Practice Location

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