Provider Demographics
NPI:1528482379
Name:BAEZ, NOELIA (RN)
Entity type:Individual
Prefix:
First Name:NOELIA
Middle Name:
Last Name:BAEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CHRISMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:FORT BUCHANAN
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00934
Mailing Address - Country:UM
Mailing Address - Phone:787-707-2535
Mailing Address - Fax:787-707-2280
Practice Address - Street 1:21 CHRISMAN RD
Practice Address - Street 2:
Practice Address - City:FORT BUCHANAN
Practice Address - State:PR
Practice Address - Zip Code:00934-4519
Practice Address - Country:US
Practice Address - Phone:787-504-6683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1828163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse