Individual
KATIUSKA NIKOLE BAEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
596 CALLE CESAR GONZALEZ, APT 522, SAN JUAN, PR 00918-4348
(787) 393-8400
Mailing address
TORRE CIBELES II, APT 522, SAN JUAN, PR 00918-3995
(787) 393-8400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19846
PR
Other
Enumeration date
01/16/2015
Last updated
08/13/2021
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