Provider Demographics
NPI:1497987952
Name:BAEZ ALICEA, FRANCES (PSYD)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:
Last Name:BAEZ ALICEA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LOMAS DE CAROLINA STREET 51A
Mailing Address - Street 2:#2E-13
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8052
Mailing Address - Country:US
Mailing Address - Phone:787-529-5582
Mailing Address - Fax:
Practice Address - Street 1:100 STREET FONT MARTELLO
Practice Address - Street 2:SUITE 320
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-529-5582
Practice Address - Fax:787-850-4278
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3187103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical