Provider Demographics
NPI:1396921102
Name:BAEZ, SILVIA I (MT)
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:I
Last Name:BAEZ
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 7465
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-9727
Mailing Address - Country:US
Mailing Address - Phone:787-267-3124
Mailing Address - Fax:
Practice Address - Street 1:27 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-4905
Practice Address - Country:US
Practice Address - Phone:787-856-0215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3800246RM2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory