Alejandro Bauza Cordero Sr., CONSEJERO PROFECIONA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2162 Issued in PR

Practice address

Calle Maga Frente Al Hospital de Psiciatria
Centromedico Drug Court Assmca
Rio Piedras, PR 00250

Phone

(787) 641-0774

Fax

(787) 641-2759

NPI assigned

Jun 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1114186285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2615",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602615",
            "telephone_number": "787-785-6690",
            "fax_number": "787-780-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MAGA FRENTE AL HOSPITAL DE PSICIATRIA",
            "address_2": "CENTROMEDICO DRUG COURT ASSMCA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00250",
            "telephone_number": "787-641-0774",
            "fax_number": "787-641-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUZA CORDERO",
        "first_name": "ALEJANDRO",
        "name_suffix": "Sr.",
        "credential": "CONSEJERO PROFECIONA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PR",
            "license": "2162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan C Aviles, M.D.
• Michelle Aviles
• Ashley Marie Ayala Melendez, PHARMD
• Renier A. Baez, PH D
• Adolfo Emmanuel Barragan Cabrera, MD
• Ivan Audberto Bauza Henriquez, MA
• Francisco R Bellaflores, MD
• Lydia E. Beltran, MD
• Zaira Luz Benabe, MED./OTR/L.
• Sandra T. Berdecia, MD

• All providers in Rio Piedras, PR
• Addiction (Substance Use Disorder) Counselor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.