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Organization

BAYAMON PEDIATRIC AND ADOLESCENT MEDICINE SERVICES,PSC

Active
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Organization

BAYAMON PEDIATRIC AND ADOLESCENT MEDICINE SERVICES,PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUIS F OLMEDO MD (PRESIDENT)
(787) 786-1873
Entity
Organization

Contact information

Practice address
BAYAMON MEDICAL PLZ, SUITE 304, BAYAMON, PR 00959-7200
(787) 786-1873
(787) 622-0024
Mailing address
PO BOX 2078, GUAYNABO, PR 00970-2078
(787) 786-1873
(787) 622-0024

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
6155
PR

Other

Enumeration date
01/21/2006
Last updated
08/22/2020
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