Provider Demographics
NPI:1386961530
Name:BAEZ-CABRERA, LUIS D (MD)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:D
Last Name:BAEZ-CABRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:LUIS
Other - Middle Name:D
Other - Last Name:BAEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2579
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-2579
Mailing Address - Country:US
Mailing Address - Phone:787-957-3140
Mailing Address - Fax:787-957-3140
Practice Address - Street 1:20-27 CARR 174
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6617
Practice Address - Country:US
Practice Address - Phone:787-957-3140
Practice Address - Fax:888-340-2674
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC395832081P2900X
PR0212072081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR021207OtherPHYSICAL MEDICINE AND REAHABILITATION