Provider Demographics
NPI:1346281227
Name:L. BAEZ CORPORATION
Entity Type:Organization
Organization Name:L. BAEZ CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BAEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:LUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-591-4002
Mailing Address - Street 1:2500 NW 79TH AVE
Mailing Address - Street 2:SUITE #176
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1071
Mailing Address - Country:US
Mailing Address - Phone:305-591-4002
Mailing Address - Fax:305-591-4001
Practice Address - Street 1:2500 NW 79TH AVE
Practice Address - Street 2:SUITE #176
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1071
Practice Address - Country:US
Practice Address - Phone:305-591-4002
Practice Address - Fax:305-591-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies