CDT DR MANUEL QUEVEDO BAEZ; NPI #1811102502

Contact Information

CDT DR MANUEL QUEVEDO BAEZ

359 CALLE SAN AGUSTIN PUERTA DE TIERRA
SAN JUAN, PR 00901-2908

Phone: 787-480-3901
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Public Health, State or Local	261QP0905X

Indicates primary specialty

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NPI Profile & details for CDT DR MANUEL QUEVEDO BAEZ

NPI Number 1811102502

LBN Legal business name CDT DR MANUEL QUEVEDO BAEZ

Authorized official STEPHANIE RODRIGUEZ - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/14/2007

Last updated 05/24/2023 - About 3 years ago

Identifiers

Medicaid

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¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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