Provider Demographics
NPI:1912930488
Name:BAYAMON MEDICAL CENTER CORP
Entity Type:Organization
Organization Name:BAYAMON MEDICAL CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT ANALYST & REVENUES
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:AMARILIS
Authorized Official - Last Name:CRUZ RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-620-8181
Mailing Address - Street 1:P.O. BOX 306
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960
Mailing Address - Country:US
Mailing Address - Phone:787-620-8181
Mailing Address - Fax:787-269-0085
Practice Address - Street 1:CARRETERA NO. 2
Practice Address - Street 2:KM 11.7
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-620-8181
Practice Address - Fax:787-269-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR35282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR400032Medicare Oscar/Certification