Organization
CBF PEDIATRICS CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN L. BAEZ MD (PRESIDENT)
(787) 717-9279
Entity
Organization
Contact information
Practice address
43 PLAZA SUR, ALTAVILLA, ENCANTADA, TRUJILLO ALTO, PR 00976-6096
(787) 717-9279
Mailing address
43 PLAZA SUR, ALTAVILLA, ENCANTADA, TRUJILLO ALTO, PR 00976-6096
(787) 717-9279
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13416
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
PR
01
—
1649240813
NPI
PR
Enumeration date
02/14/2007
Last updated
08/22/2020
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