Individual
ALEJANDRO JOSE BAEZ GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 S UNIVERSITY DR, PEMBROKE PINES, FL 33025-2234
(954) 431-0004
Mailing address
201 N LAKEMONT AVE STE 700, WINTER PARK, FL 32792-3200
(407) 629-6400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN060602
NY
1223P0300X
Periodontics
Primary
DN28929
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060602
NY DENTAL LICENSE
NY
01
—
28929
FLORIDA DENTAL LICENSE
FL
Enumeration date
03/10/2018
Last updated
12/11/2025
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