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Organization
CENTRO DE MEDICINA PRIMARIA BAYAMON INC
Active
Organization
CENTRO DE MEDICINA PRIMARIA BAYAMON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO A RODRIGUEZ M.D. (PRESIDENTE)
(787) 269-9944
Entity
Organization
Contact information
Practice address
D54 AVE LAUREL, URB. SANTA JUANITA, BAYAMON, PR 00956-4661
(787) 269-9944
(787) 269-9944
Mailing address
1168 CALLE FINLANDIA, URB. PLAZA DE LAS FUENTES, TOA ALTA, PR 00953-3809
(787) 269-9944
(787) 269-9944
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
173571
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022373
MEDICARE
PR
01
—
22373
SSS
PR
01
—
3834
PMC PREFERRED MEDICAL CHO
PR
01
—
500437 E
MEDICARE Y MUCHO MAS
PR
01
—
9090173
HUMANA GOLD CHOICE
PR
Enumeration date
10/04/2007
Last updated
10/04/2007
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