Individual
MRS. JAILEENE E BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
CARR 695 KM 2.0, BO. HIGUILLAR, DORADO, PR 00646
(787) 314-0373
Mailing address
RR 7 BOX 17127, TOA ALTA, PR 00953-8844
(787) 314-0373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004066
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4893547
DRIVERS LICENSE
PR
Enumeration date
12/21/2017
Last updated
05/14/2021
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