Provider Demographics
NPI:1447359864
Name:BIO-MEDICAL APPLICATIONS OF AGUADILLA, INC.
Entity type:Organization
Organization Name:BIO-MEDICAL APPLICATIONS OF AGUADILLA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BLANTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-699-9000
Mailing Address - Street 1:ROAD 459, KM 0.7
Mailing Address - Street 2:CAMASEYES WARD
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-0000
Mailing Address - Country:US
Mailing Address - Phone:787-882-1212
Mailing Address - Fax:787-882-7632
Practice Address - Street 1:ROAD 459, KM 0.7
Practice Address - Street 2:CAMASEYES WARD
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00605-0000
Practice Address - Country:US
Practice Address - Phone:787-882-1212
Practice Address - Fax:787-882-7632
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRESENIUS MEDICAL CARE HOLDINGS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-22
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
402513Medicare ID - Type Unspecified