1952371957 NPI number — ROBERTO BAYRON-VELEZ MD

Table of content: ROBERTO BAYRON-VELEZ MD (NPI 1952371957)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952371957 NPI number — ROBERTO BAYRON-VELEZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAYRON-VELEZ
Provider First Name:
ROBERTO
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1952371957
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6450
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681-6450
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-805-1818
Provider Business Mailing Address Fax Number:
787-832-1585

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSTPITAL BELLA VISTA
Provider Second Line Business Practice Location Address:
CARR 349 KM 2.4 CERRO LAS MASAS
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-832-1585
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  12790 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 6605753524 . This is a "MEDICAL CARD SYSTEMS INC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 90091 . This is a "MEDICARE OPTIMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6605753524 . This is a "MEDICAL CARD SYSTEMS HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6605753524 . This is a "MCS CLASSIC CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 90091 . This is a "SEGUROS DE SERVIVIOS DE S" identifier . This identifiers is of the category "OTHER".
  • Identifier: 601073 . This is a "MEDICARE Y MUCHO MAS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2458C . This is a "PREFERRED MEDICARE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 060096 . This is a "LA CRUZ AZUL DE PUERTO R" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51329 . This is a "FSE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 510742 . This is a "ACAA" identifier . This identifiers is of the category "OTHER".




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