Provider Demographics
NPI:1659664092
Name:BPS-SAR PLLC
Entity Type:Organization
Organization Name:BPS-SAR PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:RIGUERAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:810-877-7370
Mailing Address - Street 1:3400 FLECKENSTEIN RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-3042
Mailing Address - Country:US
Mailing Address - Phone:810-877-7370
Mailing Address - Fax:810-230-9338
Practice Address - Street 1:3400 FLECKENSTEIN RD
Practice Address - Street 2:SUITE 4
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-3042
Practice Address - Country:US
Practice Address - Phone:810-877-7370
Practice Address - Fax:810-230-9338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010166412081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5250135OtherBCBS
MI1060361OtherMCLAREN HEALTH ADVANTAGE
MIP03870007OtherMEDICARE
MI1027212OtherHEALTH PLUS