Bidot Preventive Medicine CSP

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

9542 Issued in PR

Legal business name

BIDOT PREVENTIVE MEDICINE CSP

Practice address

67 Calle Eduardo Riera
Mayaguez, PR 00680-3811

Phone

(787) 265-4610

NPI assigned

Oct 16, 2006

Last updated

Aug 17, 2023By 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

Mrs. Mayra D Bidot, MDNPI 1093997793

Title

Director

Phone

(787) 265-4610

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mayra D Bidot, MD

  • General Practice Physician
  • Mayaguez, PR
  • NPI 1093997793
  NPD Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1356421549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CALLE EDUARDO RIERA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803811",
            "telephone_number": "787-265-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CALLE EDUARDO RIERA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803811",
            "telephone_number": "787-265-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIDOT PREVENTIVE MEDICINE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "BIDOT",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-265-4610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "PR",
            "license": "9542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "9542",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayanara Berrios Viana, MD
• Carmen L Berrios, MD
• Alejandro Javier Berrocal Bravo, MD
• Fabiola Andrea Berrocal, CCC-SLP
• Best Emergency Treatment Solutions Inc
• Mayra D Bidot, MD
• Bienestar Emocional
• Bilingual Dietitian LLC
• Bio-Medical Applications of Mayaguez, Inc. (Bma Mayaguez)
• Bio-Medical Applications of Puerto Rico, Inc. (FMC Dialysis Services North Mayaguez Renal Center)

• Community Health Clinic/Center in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Community Health Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.