NPI 1306421714
Bayamon Podiatric Clinic Psc
Practice location
- Address
- P12 Calle Magnolia, Bayamon, PR 00956-2608
- Phone
- (787) 785-9282
- Mailing address
- P12 Ave Magnolia, Bayamon, PR 00956-2608
Authorised official
- Name
- Edmond Medina
- Title
- President
- Phone
- (787) 565-4886
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1306421714
- Entity type
- Organization
- NPI issued
- 17 Mar 2021
- Record last updated
- 5 Dec 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.