Provider Demographics
NPI:1801050596
Name:BAYAMON HEALTH CENTER
Entity type:Organization
Organization Name:BAYAMON HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR EXECUTIVE
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:BEHAR
Authorized Official - Last Name:YBARRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-995-1911
Mailing Address - Street 1:PO BOX 2759
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-2759
Mailing Address - Country:US
Mailing Address - Phone:787-995-1911
Mailing Address - Fax:787-798-0340
Practice Address - Street 1:STREET MANUEL F. ROSSY, ESQ. ISABEL II
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960-2759
Practice Address - Country:US
Practice Address - Phone:787-995-1911
Practice Address - Fax:787-798-0340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental