Provider Demographics
NPI:1528021011
Name:BAYO MCGRATH, ALEXIS JUAN JR (MD, FACEP)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:JUAN
Last Name:BAYO MCGRATH
Suffix:JR
Gender:M
Credentials:MD, FACEP
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VILLA DE SAN FRANCISCO PLZ
Mailing Address - Street 2:APT 912-I
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6349
Mailing Address - Country:US
Mailing Address - Phone:787-764-7672
Mailing Address - Fax:
Practice Address - Street 1:SALA DE EMERGENICAS CARRETERA 22 BARRIO MONACILLOS
Practice Address - Street 2:ADMINISTRACION DE SERVICIOS MEDICOS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-777-3708
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11938207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
900041Medicare ID - Type UnspecifiedPROVIDER