Provider Demographics
NPI:1720281728
Name:BAEZ, FRANKIE (MD)
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:
Last Name:BAEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E19 CAMINO LAS MARGARITAS
Mailing Address - Street 2:PASEO DEL PRADO, LOS PASEOS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5963
Mailing Address - Country:US
Mailing Address - Phone:787-365-4380
Mailing Address - Fax:
Practice Address - Street 1:BAYAMON MEDICAL MALL # 1845
Practice Address - Street 2:RD #2 SUITE 705
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-7200
Practice Address - Country:US
Practice Address - Phone:787-365-4380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13497207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery