1235465469 NPI number — BIO-MEDICAL APPLICATIONS OF PUERTO RICO, INC.

Table of content: (NPI 1235465469)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235465469 NPI number — BIO-MEDICAL APPLICATIONS OF PUERTO RICO, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BIO-MEDICAL APPLICATIONS OF PUERTO RICO, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235465469
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/17/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB. SANTA JUANITA
Provider Second Line Business Mailing Address:
CALLE 30 NUM. 200, ESQ. CALLE #41
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00956-0000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-523-1417
Provider Business Mailing Address Fax Number:
787-523-1438

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB. SANTA JUANITA
Provider Second Line Business Practice Location Address:
CALLE 30 NUM. 200, ESQ. CALLE #41
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-523-1417
Provider Business Practice Location Address Fax Number:
787-523-1438
Provider Enumeration Date:
10/22/2009

Additional Information

Authorized Official

Authorized Official Last Name:
BLANTON
Authorized Official First Name:
BARRY
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
781-699-9000

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 037976800 , issued by the state of ( PR ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com