Individual provider Active NPI

Stella Maris Baez Corujo, M.D

  • Pulmonary Disease Physician
  • San Juan, PR
National Provider Identifier
1073897567
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
18962 Issued in PR
Practice address
University District Hospital
Puerto Rico Medical Campus Bo. Monacillos
San Juan, PR 00935-0001
Phone
(787) 754-0101
NPI assigned
Oct 4, 2011
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12982-I PR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 18962 PR
Pulmonary Disease Physician 207RP1001X 18962 PR Primary

Addresses

Primary practice location

University District Hospital
Puerto Rico Medical Campus Bo. Monacillos
San Juan, PR 00935-0001

Mailing address

2Q20 Calle 19
Mirador de Bairoa
Caguas, PR 00727-1032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181005001115 PR Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7810249620 Practice locations: Trujillo Alto, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 181 KM
1 Trujillo Medical Suite 101
Trujillo Alto, PR 00976
Phone (787) 397-6030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12982-IPRMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: stella.baezcorujo.p1@direct.vitacare.nextgenshare.com

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1073897567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2Q20 CALLE 19",
            "address_2": "MIRADOR DE BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY DISTRICT HOSPITAL",
            "address_2": "PUERTO RICO MEDICAL CAMPUS BO. MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-754-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ CORUJO",
        "first_name": "STELLA",
        "middle_name": "MARIS",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12982-I",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "18962",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "18962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.