National Provider Identifier Database

CDT DR MANUEL QUEVEDO BAEZ
Public Health, State or Local


Contact Information

CDT DR MANUEL QUEVEDO BAEZ
359 CALLE SAN AGUSTIN PUERTA DE TIERRA
SAN JUAN, PR00901-2908
Phone: 787-480-3901
Fax:
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for CDT DR MANUEL QUEVEDO BAEZ

NPI Number 1811102502
Legal business name
LBN
CDT DR MANUEL QUEVEDO BAEZ
Authorized official STEPHANIE RODRIGUEZ - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/14/2007
Last updated 05/24/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • PR Medicaid: =========

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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