Individual
FERNANDO ENRIQUE BAEZ-CORUJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARR 181 KM 2.1, TRUJILLO ALRO, PR 00956
(787) 347-5611
Mailing address
MONTEHIEDRA 211 ZORZAL, SAN JUAN, PR 00926
(787) 234-5758
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
18696
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/01/2011
Last updated
10/16/2020
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