Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 021207 | PR |
N | 2081P2900X | Pain Medicine | 39583 | SC |
NPI | 1386961530 |
---|---|
Provider Name | Luis D Baez-Cabrera |
First Address | Bayamon, PR 00960-2579 |
Second Address | Corozal, PR 00783 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2010 |
Last Update Date | 08/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
021207 | PHYSICAL MEDICINE AND REAHABILITATION (01) | PR |