Provider Demographics
NPI:1013582667
Name:BAEZ VALERIO, MARY TRINY III (MD)
Entity Type:Individual
Prefix:MISS
First Name:MARY
Middle Name:TRINY
Last Name:BAEZ VALERIO
Suffix:III
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MARY
Other - Middle Name:TRINY
Other - Last Name:BAEZ VALERIO
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8039 EASTERN AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3118
Mailing Address - Country:US
Mailing Address - Phone:240-237-2835
Mailing Address - Fax:
Practice Address - Street 1:1490 7TH ST NW APT 312
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3390
Practice Address - Country:US
Practice Address - Phone:202-581-1648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant