Individual
DR. EDGARDO ISAAC BAEZ AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR. 365 KM 0.8 BO. MACHUCHAL, PLAZA ISABELLA LOCAL 2, SABANA GRANDE, PR 00637-0000
(939) 717-9840
(787) 978-7196
Mailing address
PRADERAS DE RIO FLORES 113, SABANA GRANDE, PUERTO RICO 00637
(939) 717-9840
(787) 978-7196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15719
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22869BA
TRIPLE - S
PR
Enumeration date
09/28/2006
Last updated
12/11/2014
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