Provider Demographics
NPI:1689207813
Name:BAYAMON CARDIOVASCULAR SURGERY SERVICES, C.S.P.
Entity Type:Organization
Organization Name:BAYAMON CARDIOVASCULAR SURGERY SERVICES, C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:G
Authorized Official - Last Name:ONEILL RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:873-659-4307
Mailing Address - Street 1:B20 CALLE FLORENCIA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1719
Mailing Address - Country:US
Mailing Address - Phone:787-365-9430
Mailing Address - Fax:787-740-3088
Practice Address - Street 1:B20 CALLE FLORENCIA
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1719
Practice Address - Country:US
Practice Address - Phone:787-365-9430
Practice Address - Fax:787-740-3088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty