Provider Demographics
NPI:1285875237
Name:BAEZ CARATTINI, MILAGROS
Entity type:Individual
Prefix:
First Name:MILAGROS
Middle Name:
Last Name:BAEZ CARATTINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 26910
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-8933
Mailing Address - Country:US
Mailing Address - Phone:787-737-6493
Mailing Address - Fax:787-737-6493
Practice Address - Street 1:ROAD 189 KM 1.8 INTERSECTION LUIS MUNOZ MARIN AVENUE
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00725
Practice Address - Country:UM
Practice Address - Phone:787-737-6493
Practice Address - Fax:787-561-7760
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR038081200Medicaid