| Bay View Behavioral Center Corp | |
|
16 Calle Principal Bay View Catano PR 00962-4269 | |
| (787) 200-0860 | |
| Not Available |
| Full Name | Bay View Behavioral Center Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 16 Calle Principal, Catano, Puerto Rico |
| Authorized Official Name and Position | Jose Roy Vazquez-maldonado (PSYQUIATRIST) |
| Authorized Official Contact | 7872000860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay View Behavioral Center Corp D 54 Zafiro Paseo Real Dorado PR 00646 Ph: (787) 404-1668 | Bay View Behavioral Center Corp 16 Calle Principal Bay View Catano PR 00962-4269 Ph: (787) 200-0860 |
| NPI Number | 1255644563 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 07/16/2010 |
| Medicare PECOS PAC ID | 0749450351 |
|---|---|
| Medicare Enrollment ID | O20110908001929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255644563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Puerto Rico) | Primary |
| Provider Name | Jose Vazquez Maldonado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104801273 PECOS PAC ID: 8022020015 Enrollment ID: I20060609000197 |
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