Individual
DR. RICHARD BAEZ TELLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2225 PONCE BY PASS, OFICINA 504, PONCE, PR 00717-1321
(787) 354-2910
(787) 848-0318
Mailing address
P O BOX 801453, COTO LAUREL, PR 00780-1453
(787) 354-2910
(787) 848-0318
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12897
PR
Other
Enumeration date
09/05/2006
Last updated
08/17/2011
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