Individual
EDWIN BAEZ MONTALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVE AGUAS BUENAS, BLOQ 16 #34 URB SANTA ROSA, BAYAMON, PR 00959
(787) 798-0344
(787) 740-4266
Mailing address
AVE AGUAS BUENAS, BLOQ 16 #34 URB SANTA ROSA, BAYAMON, PR 00959
(787) 798-0344
(787) 740-4266
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
6417
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068067
CA
—
01
—
2669
IMC
—
Enumeration date
03/14/2006
Last updated
06/25/2010
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