Provider Demographics
NPI:1851061121
Name:BIOMED HEALTHCARE PROVIDERS, LLC
Entity Type:Organization
Organization Name:BIOMED HEALTHCARE PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:TORRES LASANTA
Authorized Official - Suffix:
Authorized Official - Credentials:MLS(ASCP)
Authorized Official - Phone:787-934-8499
Mailing Address - Street 1:URB AVENTURA
Mailing Address - Street 2:148 CALLE TRAVESIA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-998-3324
Mailing Address - Fax:
Practice Address - Street 1:PR 181 KM 59.7
Practice Address - Street 2:BO. LA GLORIA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-998-3324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography