# GES CDT DR. MANUEL QUEVEDO BAEZ

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245363852
- **Authorized official:** RAUL VILLALOBOS (PRESIDENT)
- **Authorized official phone:** (787) 767-8758

## Contact information

- **Practice address:** 359 CALLE SAN AGUSTIN, PUERTA DE TIERRA, SAN JUAN, PR 00901-2908
- **Practice address phone:** (787) 723-6057
- **Mailing address:** PO BOX 193044, SAN JUAN, PR 00919-3044
- **Mailing address phone:** (787) 767-8758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09-F2468 | PR | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1835G0000X | PHARMACY | PR |