The study presents the bibliometric analysis of the Spanish scientific output in biomedicine during 1996-2004. This is the last edition of a series of bibliometric studies aimed to characterize the Spanish scientific performance in biomedicine.The analysis was restricted to citable documents for which simple and composite bibliometric indicators were obtained at different aggregation levels: fields, autonomous regions, institutional sectors and research centres. The documents were selected according to the Journal Citation Reports, and were assigned to affiliation centres following an integer counting scheme after an exhaustive normalization of the affiliation addresses.Compared to the period 1994-2002, research activity in biomedicine grew as much as Spain: 8.9% in the number of documents; 22.5% citations; 12.5% citation per document average and 27.2% international cooperation. Besides, biomedicine showed the highest citation per document average compared to other major fields. International cooperation in biomedicine (27.2%) reached the European average. The documents published in international cooperation account for the half of citations to documents in biomedicine. The number of documents and citations belonging to the clinic medicine subfield and to the health sector showed the highest growth.In general, these results reproduce the tendencies described in prior studies. The documents in biomedicine showed a highly asymmetric distribution among institutional sectors, autonomous regions, scientific fields and research centres. The remarkably increase in the output of clinical medicine field and in the health sector could be the consequence of important science policy actions undertaken in these areas in the last years.