Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6616 | PR |
Y | 103T00000X | Psychologist | 6616 | PR |
NPI | 1003497074 |
---|---|
Provider Name | Valerie Baez Caballero |
First Address | Caguas, PR 00725 |
Second Address | Salinas, PR 00751-3240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2021 |
Last Update Date | 23/04/2021 |