Provider Demographics
NPI:1265235642
Name:BEDICS, JAN CARLOS (BA , BBS)
Entity type:Individual
Prefix:
First Name:JAN
Middle Name:CARLOS
Last Name:BEDICS
Suffix:
Gender:
Credentials:BA , BBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PARQUE DE BUCARE I
Mailing Address - Street 2:CROSANDRA 20
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-307-7252
Mailing Address - Fax:
Practice Address - Street 1:SALA PONCE
Practice Address - Street 2:388 CALLE LUIS F
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-840-2575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program