Organization
CDT DR MANUEL QUEVEDO BAEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE RODRIGUEZ LIC (ADMINISTRATOR)
(787) 480-3901
Entity
Organization
Contact information
Practice address
359 CALLE SAN AGUSTIN PUERTA DE TIERRA, SAN JUAN, PR 00901-2908
(787) 480-3901
Mailing address
PO BOX 21405, SAN JUAN, PR 00928-1405
(787) 480-3901
(787) 724-0696
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
=========
—
PR
Enumeration date
05/14/2007
Last updated
05/24/2023
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