Provider Demographics
NPI:1790380954
Name:BAYAMON MEDICAL CENTER CORP
Entity type:Organization
Organization Name:BAYAMON MEDICAL CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SURILLO DAHDAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-620-8181
Mailing Address - Street 1:CARR #2 KM 11.6
Mailing Address - Street 2:BAYAMON MEDICAL PLAZA LOCAL 210
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-620-8181
Mailing Address - Fax:787-999-7109
Practice Address - Street 1:CARR #2 KM 11.6
Practice Address - Street 2:BAYAMON MEDICAL PLAZA LOCAL 210
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-786-8221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYAMON MEDICAL CENTER CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-03
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy