Individual
STELLA MARIS BAEZ CORUJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12982-I
PR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
18962
PR
207RP1001X
Pulmonary Disease Physician
Primary
18962
PR
Other
Enumeration date
10/04/2011
Last updated
09/25/2018
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