Individual
LUIS BAEZ VALLECILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
97 AVE DE DIEGO, SAN JUAN, PR 00927-6310
(939) 545-6353
(939) 545-6354
Mailing address
97 AVE DE DIEGO, SAN JUAN, PR 00927-6310
(787) 919-7919
(787) 919-7918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19615
PR
207R00000X
Internal Medicine Physician
P6580
TX
207RH0003X
Hematology & Oncology Physician
Primary
19615
PR
Other
Enumeration date
08/01/2012
Last updated
09/19/2022
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