# BARAHONA MEDICAL CENTER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629472329
- **Authorized official:** DR. MANUEL RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (787) 862-4417

## Contact information

- **Practice address:** CARR 155, KM 55.1, BO. BARAHONA, MOROVIS, PR 00687
- **Practice address phone:** (787) 862-5159
- **Mailing address:** PO BOX 953, MOROVIS, PR 00687-0953
- **Mailing address phone:** (787) 862-5159

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 007320 | PR | Yes |
| 291U00000X | Clinical Medical Laboratory | 007320 | PR | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 007320 | PR | — |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 10/09/2014