Provider Demographics
NPI:1669178638
Name:MEDICAL BARIATRICS LLC
Entity type:Organization
Organization Name:MEDICAL BARIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:TERESA
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-738-8083
Mailing Address - Street 1:PO BOX 2528
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-2528
Mailing Address - Country:US
Mailing Address - Phone:787-738-8083
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL MENONITA DE CAYEY
Practice Address - Street 2:EDIF. PROFESIONAL SUITE 412
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-738-8083
Practice Address - Fax:787-229-6507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty