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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