Bayamon Medical Wellness Center, PSC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BAYAMON MEDICAL WELLNESS CENTER, PSC

Practice address

Calle Manuel Rossy Esq. Isabel II
Bayamon, PR 00960

Phone

(787) 451-1363

NPI assigned

Jun 12, 2014

Last updated

Jun 12, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Angel Luis Comulada-Rivera, M.D.

Title

Medical Director

Phone

(787) 667-9843

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1083028542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52192",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009502192",
            "telephone_number": "787-451-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MANUEL ROSSY ESQ. ISABEL II",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-451-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYAMON MEDICAL WELLNESS CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "COMULADA-RIVERA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-667-9843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayamon Internal Medicine Group
• Bayamon Medical Center Corp (Parkmedia Pharmacy)
• Bayamon Medical Center Corp
• Bayamon Medical Pharmacy & Cafeteria,Inc.
• Bayamon Medical Solutions
• Bayamon Neurology Services, PSC
• Bayamon OB-GYN, PSC
• Bayamon Oncology Medical CSP
• Bayamon Optical Inc
• Bayamon Parcial

• Multi-Specialty Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Multi-Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.