Provider Demographics
NPI:1346812740
Name:BAEZ-ALMONTE, SANDY SR
Entity Type:Individual
Prefix:MR
First Name:SANDY
Middle Name:
Last Name:BAEZ-ALMONTE
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 W KINGSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-7512
Mailing Address - Country:US
Mailing Address - Phone:917-439-4707
Mailing Address - Fax:718-552-2393
Practice Address - Street 1:91 W KINGSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-7512
Practice Address - Country:US
Practice Address - Phone:917-439-4707
Practice Address - Fax:718-552-2393
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-14
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician