Provider Demographics
NPI:1922197011
Name:BERNASCHINA BOBADILLA, CLAUDIO P (MD, FACS)
Entity type:Individual
Prefix:
First Name:CLAUDIO
Middle Name:P
Last Name:BERNASCHINA BOBADILLA
Suffix:
Gender:M
Credentials:MD, FACS
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Mailing Address - Street 1:P.O. BOX 801215
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-1215
Mailing Address - Country:US
Mailing Address - Phone:787-841-1501
Mailing Address - Fax:787-812-0910
Practice Address - Street 1:PARRA MEDICAL PLAZA
Practice Address - Street 2:2225 PONCE BY PASS SUITE 902
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1322
Practice Address - Country:US
Practice Address - Phone:787-840-0956
Practice Address - Fax:787-812-0910
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2022-04-28
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Provider Licenses
StateLicense IDTaxonomies
PR12628208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1922197011OtherTRIPLE S SALUD
PRG68032Medicare UPIN
PR0089560Medicare ID - Type UnspecifiedSSS