Individual
DR. SANDRA PATRICIA BAQUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
Mailing address
532 W 12TH PL, HIALEAH, FL 33010-2950
(305) 785-0865
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME103813
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN 9269
FL
Other
Enumeration date
05/21/2007
Last updated
10/01/2010
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