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Individual
MARCELO JOSE LACAYO BAEZ
Active
Individual
MARCELO JOSE LACAYO BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2018-0150
NM
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME140238
FL
Other
Enumeration date
05/08/2013
Last updated
04/07/2022
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