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Individual

DR. WANDA IVETTE BAEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
VA PONCE OUTPATIENT CLINIC, 1010 PASEO DEL VETERANO AVE, PONCE, PR 00718
(787) 812-3030
(787) 651-4321
Mailing address
HC 9 BOX 5845, SABANA GRANDE, PR 00637-9629
(787) 812-3030
(787) 651-4321

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/14/2006
Last updated
07/08/2007
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