Provider Demographics
NPI:1043642788
Name:CLINICA PEDIATRICA BMS
Entity Type:Organization
Organization Name:CLINICA PEDIATRICA BMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-261-0708
Mailing Address - Street 1:PO BOX 51873
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-1873
Mailing Address - Country:US
Mailing Address - Phone:787-261-0708
Mailing Address - Fax:
Practice Address - Street 1:10-5 AVE NORTH MAIN
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-4325
Practice Address - Country:US
Practice Address - Phone:787-261-0708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service