Alejandro Jose Baez Gutierrez

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN28929 Issued in FL

Practice address

140 S University Dr
Pembroke Pines, FL 33025-2234

Phone

(954) 431-0004

NPI assigned

Mar 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

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": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1114420627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N LAKEMONT AVE STE 700",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923200",
            "telephone_number": "407-629-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330252234",
            "telephone_number": "954-431-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ GUTIERREZ",
        "first_name": "ALEJANDRO",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-10",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "DN060602",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN28929",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DENTAL LICENSE",
            "identifier": "28929",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY DENTAL LICENSE",
            "identifier": "060602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Bacon-Green, MD
• Reshma Baddaloo
• Maka Badridze
• Stephanie Marie Baer
• Daniela Victoria Baez Amador
• Lila De la Caridad Baez Lopez
• Axel Manuel Baez-Lugo, MD
• Stacy Ann Bahadur
• Bahta and Associates Inc
• Irene Fadullon Bahta, MD

• Periodontics in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.