Provider Demographics
NPI:1912992553
Name:DOCTORS CENTER HOSPITAL BAYAMON INC
Entity Type:Organization
Organization Name:DOCTORS CENTER HOSPITAL BAYAMON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:787-854-3322
Mailing Address - Street 1:PO BOX 2957
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-6057
Mailing Address - Country:US
Mailing Address - Phone:787-622-5421
Mailing Address - Fax:787-622-5432
Practice Address - Street 1:9 J ST
Practice Address - Street 2:URB EXTENSION HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-622-5421
Practice Address - Fax:787-622-5432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR66282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR300011OtherPREFERRED HEALTH PLAN
PR6190041OtherHUMANA
PR700012OtherMEDICARE Y MUCHO MAS
PR030334OtherCRUZ AZUL
PR10138OtherTRIPLE-S
PR000019OtherUNION INDEPENDIENTE AUTEN
PR10138OtherTRIPLE-S
PR300011OtherPREFERRED HEALTH PLAN
PR=========OtherMAPFRE
PR=========OtherAMERICAN HEALTH
PR=========OtherPRUDENTIAL
PR000019OtherUNION INDEPENDIENTE AUTEN
PR=========OtherGLOBAL
PR=========OtherGHI
PR=========OtherPANAMERICAN LIFE INSURANC
PR=========OtherCOSVIMED
PR6190041OtherHUMANA
PR=========OtherFIRST MEDICAL
PR=========OtherAMERICAN HEALTH