Provider Demographics
NPI:1093014474
Name:BABY BAMS CORP
Entity type:Organization
Organization Name:BABY BAMS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAOLA
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-585-4445
Mailing Address - Street 1:RIVER VALLEY PARK TALLABOA ST. 113
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00729
Mailing Address - Country:UM
Mailing Address - Phone:787-585-4445
Mailing Address - Fax:
Practice Address - Street 1:RIVER VALLEY PARK TALLABOA ST. 113
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00729
Practice Address - Country:UM
Practice Address - Phone:787-585-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR04608890018332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies