Organization
CENTRO RENAL DE BAYAMON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R MARTINEZ (PRESIDENT)
(787) 288-5555
Entity
Organization
Contact information
Practice address
SANTA JUANITA SHOPPING COURT, CALLE 30 ESQUINA 41, BAYAMON, PR 00956
(787) 288-5555
(787) 786-9824
Mailing address
EL SENORIAL MAIL STATION MSC 536, WINSTON CHURCHILL 138, RIO PIEDRAS, PR 00926
(787) 288-5555
(787) 786-9824
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
95226
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17964
COMMERCIAL PROVIDER NUMBE
PR
Enumeration date
08/31/2006
Last updated
08/22/2020
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