Provider Demographics
NPI:1528469699
Name:MUNICIPIO DE BAYAMON
Entity type:Organization
Organization Name:MUNICIPIO DE BAYAMON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MEDICO
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:JUAN
Authorized Official - Last Name:ALICEA BAEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-780-4806
Mailing Address - Street 1:PO BOX 1588
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1588
Mailing Address - Country:US
Mailing Address - Phone:787-780-4806
Mailing Address - Fax:
Practice Address - Street 1:CALLE ISABEL II ESQUINA DEGETAU
Practice Address - Street 2:HOSPITAL BAYAMON HEALTH CENTER AREA SOTANO
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-780-4806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport