Provider Demographics
NPI:1194376210
Name:BAEZ, JULIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:BAEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO 10000
Mailing Address - Street 2:SUITE 256-E
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-9601
Mailing Address - Country:US
Mailing Address - Phone:787-446-2205
Mailing Address - Fax:
Practice Address - Street 1:URB PRADERAS DEL PLATA
Practice Address - Street 2:11 PASEO DORADO
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-446-2205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider