Provider Demographics
NPI:1497325831
Name:MARIN BAEZ, CLAUDIA (DMD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:MARIN BAEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1790 W 79TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-3236
Mailing Address - Country:US
Mailing Address - Phone:786-970-6000
Mailing Address - Fax:
Practice Address - Street 1:2360 W 68TH ST STE 124
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5502
Practice Address - Country:US
Practice Address - Phone:305-825-7447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL26172122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist