Individual
GUSTAVO ALEJANDRO BAEZ MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 CALLE SAN ISIDRO, SABANA GRANDE, PR 00637
(787) 404-5025
Mailing address
PO BOX 1019, SABANA GRANDE, PR 00637-1019
(787) 404-5025
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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