Provider Demographics
NPI:1306256656
Name:BIO-MEDICAL APPLICATIONS OF PUERTO RICO,INC.
Entity type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF PUERTO RICO,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP AND TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:R
Authorized Official - Last Name:FAWCETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:CDT SUSANA CENTENO RD 997,
Mailing Address - Street 2:KM 0.1 DESTINO WARD
Mailing Address - City:VIEQUES
Mailing Address - State:PR
Mailing Address - Zip Code:00765
Mailing Address - Country:US
Mailing Address - Phone:787-741-0392
Mailing Address - Fax:
Practice Address - Street 1:CDT SUSANA CENTENO RD 997,
Practice Address - Street 2:KM 0.1 DESTINO WARD
Practice Address - City:VIEQUES
Practice Address - State:PR
Practice Address - Zip Code:00765
Practice Address - Country:US
Practice Address - Phone:787-741-0392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
1770703848OtherNPI
1770703848OtherNPI