Baucage Emg Medical LLC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Moca, PR
NPI 1629616362 · NPPES record last updated Dec 12, 2019
Key facts
- NPI
- 1629616362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- BAUCAGE EMG MEDICAL LLC
- Practice address
- Calle Concepcion Vera #550
Hospital San Carlos Borromeo
Moca, PR 00676 - Phone
- (787) 877-3466
- NPI assigned
- Dec 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Mr. Francisco L Pereira
- Title
- Secretary
- Phone
- (787) 385-8543
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200421001890 | PR | Part B Supplier - Clinic/Group Practice | 5496185118 |
Receives reassigned benefits from 1 practitioner Practice locations: Aguadilla, PR; Moca, PR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
Addresses
Primary practice location
Calle Concepcion Vera #550
Hospital San Carlos Borromeo
Moca, PR 00676
Mailing address
PO Box 855
Moca, PR 00676-0855
Phone (787) 877-3466
Other providers in Moca, PR
- Iris M. Babilonia
- Jaime Babilonia
- Arelys Badillo
- Katty B. Barroso
- Elsie Yale Batlle
- Edgar Baucage Garcia
- Kathia Sheilee Baucage Rodriguez
- Believe Learning and Therapy Center
- Maribel Beltran
- Ada N Benejam
All providers in Moca, PR · Physical Medicine & Rehabilitation Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.