Organization
CENTRO PSIQUIATRICO DE BAYAMON CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR ANTONIO CARDONA M.D. (PRESIDENT)
(787) 798-4550
Entity
Organization
Contact information
Practice address
43-15 AVE MAIN, URB. SANTA ROSA, BAYAMON, PR 00959-6501
(787) 798-4335
Mailing address
43-15 AVE MAIN, URB. SANTA ROSA, BAYAMON, PR 00959-6501
(787) 798-4335
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
5382
PR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
5382
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028244
TRIPLE S
PR
01
—
096060
HUMANA HEALTH CARE
PR
01
—
1194721258
MEDICAL CARD SYSTEM
PR
Enumeration date
02/18/2013
Last updated
02/18/2013
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