Organization
CENTRO PSIQUIATRICO DE BAYAMON CORP
Active
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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